Individual
MARK THOMAS LEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
401 CYPRESS ST, MANCHESTER, NH 03103-3699
(603) 668-4111
Mailing address
2 WALL ST STE 100, MANCHESTER, NH 03101-1518
(603) 668-4111
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
025071-21
NH
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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