Individual
MISS LINDA JEAN GROISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5482
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5482
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
179
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30004768
—
NH
Enumeration date
09/25/2006
Last updated
12/26/2014
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