Individual
MRS. GENA WORLEY DECKELBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2 PILLSBURY ST STE 100, CONCORD, NH 03301-3549
(603) 224-2020
Mailing address
2 PILLSBURY ST STE 100, CONCORD, NH 03301-3549
(603) 224-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1093
NH
Other
Enumeration date
07/26/2006
Last updated
04/12/2024
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