Individual
JULIO DUTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
071802-23
NH
Other
Enumeration date
08/31/2020
Last updated
09/01/2020
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