NPI 1003986274

Crystal Ann Proulx, MSRDLDCNSD

Practitioner Registered Dietitian Manchester, NH

Practice location

Address: 100 McGregor St, Manchester, NH 03102-3730
Phone: (603) 663-6507
Mailing address: 26 Bow Bog Rd, Bow, NH 03304-4300

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 162 (NH)

Other Dietitian, Registered providers in New Hampshire →

Registry record

NPI: 1003986274
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.