Individual
MARY T BAILLARGEON
Active
Individual
MARY T BAILLARGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPAS
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0625
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30335008
—
NH
Enumeration date
03/15/2007
Last updated
05/23/2011
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