Individual
MARY LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 CHURCH ST, LACONIA, NH 03246-3432
(603) 524-1100
Mailing address
111 CHURCH ST, LACONIA, NH 03246-3432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
071956-21
NH
Other
Enumeration date
10/26/2015
Last updated
10/26/2015
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