Organization
COASTAL FAMILY NUTRITION
Active
Other names
Karen Mountjoy Pediatric Nutrition and Dietetics
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MOUNTJOY RD (OWNER)
(603) 674-2479
Entity
Organization
Contact information
Practice address
230 LAFAYETTE RD STE 13, PORTSMOUTH, NH 03801-5465
(603) 674-2479
(603) 590-7471
Mailing address
230 LAFAYETTE RD STE 13, PORTSMOUTH, NH 03801-5465
(603) 674-2479
(603) 590-7471
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0728
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0728
STATE LICENSURE
NH
01
—
1078302
NATIONAL REGISTRATION LD NUMBER
—
Enumeration date
11/20/2017
Last updated
11/20/2017
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