Individual
NICOLE LEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6 TSIENNETO RD STE 101, DERRY, NH 03038-1584
(603) 434-4193
Mailing address
PO BOX 250, TOPSFIELD, MA 01983-0350
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2761
MD
Other
Enumeration date
11/06/2020
Last updated
12/20/2022
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