Individual
HOLLY PELLETIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
57 WEBSTER ST STE 110, MANCHESTER, NH 03104-2552
(603) 622-6491
(603) 663-1922
Mailing address
57 WEBSTER ST STE 110, MANCHESTER, NH 03104-2552
(603) 622-6491
(603) 663-1922
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0415
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30332475
—
NH
01
—
970026231
RAILROAD MEDICARE
—
Enumeration date
08/07/2006
Last updated
08/08/2008
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