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Individual

SANDRA LA REE MOTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CS ARNP

Contact information

Practice address
10 MEMBERS WAY, SUITE 401, DOVER, NH 03820-5933
(603) 742-9200
(603) 742-4605
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-9200
(603) 742-4605

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
589
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2023607
CIGNA
NH
05
3074048
NH
01
4009533YONH01
BCBS
NH
01
7135879
AETNA
Enumeration date
04/04/2006
Last updated
02/01/2016
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