Individual
ELLEN KAY LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MAPLE ST, LITTLETON, NH 03561-4729
(603) 444-5358
(603) 444-0145
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 444-3347
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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