Individual
MRS. CRYSTAL ANN PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSRD, LD, CNSD
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-6507
Mailing address
26 BOW BOG RD, BOW, NH 03304-4300
(603) 228-4764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
162
NH
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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