Individual
DR. JESSICA ANNE CHARLES-LAROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 LEAVY DR, BEDFORD, NH 03110
(603) 472-7233
Mailing address
6 WHITE OAK LN, DERRY, NH 03038-7268
(781) 267-4148
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
33679
NH
207Q00000X
Family Medicine Physician
Primary
33679
NH
390200000X
Student in an Organized Health Care Education/Training Program
64272
—
390200000X
Student in an Organized Health Care Education/Training Program
EC221041
ME
Other
Enumeration date
04/02/2020
Last updated
09/11/2024
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