Individual
MALARI PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2 ALADDIN CIR APT 6, DERRY, NH 03038-4376
(978) 902-5101
Mailing address
2 ALADDIN CIR APT 6, DERRY, NH 03038-4376
(978) 902-5101
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
017925-22
NH
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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