Individual
AMANDA MARIE LORUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, AEMT, BS
Contact information
Practice address
13 MARCH FARM WAY, GREENLAND, NH 03840-6234
(603) 380-7174
Mailing address
19 SACO ST UNIT 87, CENTER CONWAY, NH 03813-4212
(203) 841-6799
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
33845
NH
225700000X
Massage Therapist
Primary
7550
NH
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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