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Individual

MIKAYLA SEVIGNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
56 CRANEY HILL RD, WEARE, NH 03281-4103
(603) 660-6754
Mailing address
56 CRANEY HILL RD, WEARE, NH 03281-4103
(603) 660-6754

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133NN1002X
Nutrition Education Nutritionist
133V00000X
Registered Dietitian
0971
NH
133V00000X
Registered Dietitian
Primary
86113588

Other

Enumeration date
09/02/2020
Last updated
02/01/2022
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