Individual
JAIMEE L WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-8787
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-6510
(603) 740-2244
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0632
NH
363AM0700X
Medical Physician Assistant
Primary
0632
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071849
—
NH
Enumeration date
03/15/2007
Last updated
12/31/2024
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