Individual
KATIE MONIQUE TREMBLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3628
(603) 668-4111
Mailing address
106 MYRTLE ST, MANCHESTER, NH 03104-6026
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
054840-21
NH
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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