Individual
MR. JONATHAN HATCH DANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
145 MAIN ST, DURHAM, NH 03824-3572
(603) 862-3824
(603) 862-4198
Mailing address
145 MAIN ST, DURHAM, NH 03824-3572
(603) 862-3824
(603) 862-4198
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
28
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28
NH LIC
—
Enumeration date
02/02/2018
Last updated
06/16/2018
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