Individual
CHRISTINA AQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
18 OLD ETNA RD, LEBANON, NH 03766-1937
(603) 650-5000
Mailing address
1 MEDICAL DR, LEBANON, NH 03756-0001
(603) 650-5000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
074.0134193
VT
133V00000X
Registered Dietitian
Primary
1044
NH
133V00000X
Registered Dietitian
CDR 969677
CA
Other
Enumeration date
05/12/2010
Last updated
06/10/2020
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