Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 100 | NH |
NPI | 1003147307 |
---|---|
Provider Name | Leanne Murabito |
First Address | East Hampstead, NH 03826 |
Second Address | East Hampstead, NH 03826 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2010 |
Last Update Date | 26/01/2010 |