Individual
LARISSA MARA TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
14 WASHINGTON ST, CONWAY, NH 03818-6042
(603) 447-1131
Mailing address
PO BOX 370, CONWAY, NH 03818-0370
(603) 447-1131
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
797-0807
NH
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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