Individual
DEMERIA M BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 GOFFS FALLS ROAD, MANCHESTER, NH 03103
(800) 995-2673
(888) 979-6551
Mailing address
3000 GOFFS FALLS RD, MANCHESTER, NH 03103-6109
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
24236
NE
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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