Individual
MS. KRISTEN BETH LONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(000) 000-0000
Mailing address
10 SCHOOL ST APT 3, LEBANON, NH 03766-1634
(603) 306-1757
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
10/12/2021
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