Individual
TINA MICHAUD-GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
595 CENTRAL AVE, DOVER, NH 03820-3450
(603) 743-4885
Mailing address
595 CENTRAL AVE, DOVER, NH 03820-3450
(603) 743-4885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
064884-21
NH
163W00000X
Registered Nurse
RN2289864
MA
174400000X
Specialist
Primary
0461M
NH
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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