Individual
TRACI MARIE KOMOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
8 DARTMOUTH ST, CONCORD, NH 03301-2316
(603) 244-0549
Mailing address
8 DARTMOUTH ST, CONCORD, NH 03301-2316
(603) 244-0549
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
434
NH
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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