Individual
MRS. REBECCA MOHNEY KOLESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1 MEDICAL DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-8050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1796
NH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2021
Last updated
10/26/2021
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