Individual
MICHELLE M MALLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
145 MAIN ST, DURHAM, NH 03824-3572
(605) 868-4507
Mailing address
5 BENNETT WAY APT 20, NEWMARKET, NH 03857-2363
(605) 868-4507
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1259
NH
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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