Individual
SUZANNE THERESA PROULX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
360 ROUTE 101 STE 1, BEDFORD, NH 03110-5033
(603) 540-0212
(888) 990-0412
Mailing address
PO BOX 741, GOFFSTOWN, NH 03045-0741
(603) 540-0212
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
295
NH
133V00000X
Registered Dietitian
Primary
812
MA
Other
Enumeration date
04/25/2007
Last updated
06/28/2019
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