Organization
DOVETAIL PAC NH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INDIA MICHEL (AUTHORIZED OFFICIAL)
(603) 584-4865
Entity
Organization
Contact information
Practice address
20 FOUNDRY ST FL 2, CONCORD, NH 03301-5419
(603) 584-4865
Mailing address
20 FOUNDRY ST FL 2, CONCORD, NH 03301-5419
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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