Individual
SERENA FABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 GOFFS FALLS RD, MANCHESTER, NH 03111-1000
(800) 995-2673
Mailing address
3000 GOFFS FALLS RD, MANCHESTER, NH 03111-1000
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
0250126913
VT
164W00000X
Licensed Practical Nurse
65275
OK
164W00000X
Licensed Practical Nurse
Primary
L057244
AR
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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