Individual
CRYSTAL MICHELLE PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
667 CONGRESS ST APT 302, PORTLAND, ME 04101-5171
(914) 469-7804
Mailing address
667 CONGRESS ST APT 302, PORTLAND, ME 04101-5171
(914) 469-7804
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
009044-1
NY
133V00000X
Registered Dietitian
86050249
NY
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/19/2016
Last updated
07/07/2022
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