Individual
MRS. MARIA HENRIETTE CLOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MMSC, PA-C
Contact information
Practice address
252 BROAD ST, CLAREMONT, NH 03743-2636
(603) 542-6455
Mailing address
252 BROAD ST, CLAREMONT, NH 03743-2636
(603) 542-6455
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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