Individual
JENNIFER POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 892-1956
Mailing address
555 AUBURN ST, MANCHESTER, NH 03103-4803
(603) 892-1956
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
075552-21
NH
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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