Individual
MARILOU B PATALINJUG TYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7 PROSPECT ST., NASHUA, NH 03060
(603) 889-6147
(603) 883-1568
Mailing address
7 PROSPECT ST., NASHUA, NH 03060
(603) 889-6147
(603) 883-1568
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0842
NH
2084P0800X
Psychiatry Physician
21257
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3004199000
—
WV
Enumeration date
07/28/2006
Last updated
04/01/2016
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