Individual
ALICE JO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MEDICAL DR DEPT GENERAL, LEBANON, NH 03756-1000
(267) 664-6814
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RT-3592
NH
Other
Enumeration date
04/25/2019
Last updated
06/17/2020
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