Individual
KATHARINE RILEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
127 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-7459
(603) 448-7462
Mailing address
125 MASCOMA ST, LEBANON, NH 03766-2647
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0129P
NH
Other
Enumeration date
09/30/2005
Last updated
07/08/2007
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