Individual
MRS. WANDA W MCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 MOUNT EUSTIS RD, LITTLETON, NH 03561-3712
(603) 444-2464
(603) 444-3441
Mailing address
34 PILGRIM DR, LITTLETON, NH 03561-3950
(603) 444-6215
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0342P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30333040
—
NH
Enumeration date
09/21/2006
Last updated
07/08/2007
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