Individual
JESSICA LAUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 PLEASANT ST., CONWAY, NH 03818
(603) 731-3527
Mailing address
PO BOX 2214, CONWAY, NH 03818-2214
(603) 731-3527
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
3097M
NH
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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