Individual
MS. ANDREE GODMAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
115 ETNA ROAD BUILDING 1, SUITE 1, LEBANON, NH 03766
(603) 448-4251
(603) 448-4251
Mailing address
260 METHODIST HILL RD, PLAINFIELD, NH 03781-5418
(603) 448-1059
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
C20104 (BOC)
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012747
—
VT
01
—
12Y004995NH01
ANTHEM BCBS
NH
05
—
30763212
—
NH
Enumeration date
09/11/2006
Last updated
12/01/2008
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