Individual
JEANIE HOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
356 LAUREL ST # 2, MANCHESTER, NH 03103-4109
(603) 703-2209
Mailing address
356 LAUREL ST # 2, MANCHESTER, NH 03103-4109
(603) 703-2209
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
034089-21
NH
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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