Individual
JAMES MUCERINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3000 GOFFS FALLS RD, SUITE 101, MANCHESTER, NH 03111-1000
(800) 995-2673
(888) 979-6551
Mailing address
3000 GOFFS FALLS RD, SUITE 101, MANCHESTER, NH 03111-1000
(800) 995-2673
(888) 979-6551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
L 080780-5
MN
164W00000X
Licensed Practical Nurse
LPN03910
ME
164W00000X
Licensed Practical Nurse
Primary
PN5209623
FL
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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