Individual
KATHLEEN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
795 WASHINGTON RD, RYE, NH 03870-2318
(603) 379-1524
Mailing address
16 CHRISTIE LN, STRATHAM, NH 03885-2484
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1998
NH
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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