Individual
WENDY PAVNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
254 PLEASANT ST, CONCORD, NH 03301-2551
(866) 551-6011
Mailing address
254 PLEASANT ST, CONCORD, NH 03301-2551
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0453P
NH
Other
Enumeration date
05/22/2006
Last updated
01/23/2013
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