Healthcare Provider Details
I. General information
NPI: 1073946034
Provider Name (Legal Business Name): APRIL WOMACK CHAMBERS DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/14/2013
Last Update Date: 08/14/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
392 WHITTIER HIGHWAY
MOULTONBOROUGH NH
03254
US
IV. Provider business mailing address
392 WHITTIER HIGHWAY PO 637
MOULTONBOROUGH NH
03254
US
V. Phone/Fax
- Phone: 603-253-7701
- Fax:
- Phone: 603-253-7701
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 174M00000X |
| Taxonomy | Veterinarian |
| License Number | 2104 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: