Individual
TERA L LIBBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 ROUTE 108, SOMERSWORTH, NH 03878-1119
(603) 935-0077
(603) 953-0078
Mailing address
200 ROUTE 108, SOMERSWORTH, NH 03878-1119
(603) 935-0077
(603) 953-0078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
01581122
NH
Other
Enumeration date
05/08/2021
Last updated
05/08/2021
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