Individual
MRS. ERICA ALEXIS SCHULTZE MUMFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
82 PALOMINO LN STE 501, BEDFORD, NH 03110-6448
(603) 557-8047
Mailing address
82 PALOMINO LN STE 501, BEDFORD, NH 03110-6448
(603) 557-8047
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
224
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SCMT0637
MNT NUMBER
—
Enumeration date
04/19/2007
Last updated
03/19/2009
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