Individual
KRYSTLE O'SHAUGHNESSY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7007
(603) 624-4366
Mailing address
25 FESSENDEN LN, WEARE, NH 03281-4448
(603) 529-2660
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
013805-22
NH
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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