Organization
CELDARA MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOLANDA CAMILLE NESBETH PH.D. (OPERATIONS MANAGER)
(603) 236-1852
Entity
Organization
Contact information
Practice address
16 CAVENDISH CT, SUITE 240, LEBANON, NH 03766-1441
(617) 320-8521
(617) 475-5194
Mailing address
16 CAVENDISH CT, SUITE 240, LEBANON, NH 03766-1441
(617) 320-8521
(617) 475-5194
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
03680
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30809586
—
NH
Enumeration date
02/16/2012
Last updated
10/01/2012
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