Alicia F Mudgett
Dietitian, Registered in North Conway, NH. Individual provider (NPI-1).
NPI number1801464342
StatusActive
Last updated in NPPESJun 11, 2021
Details
- NPI
- 1801464342
- Entity type
- Individual (NPI-1)
- Name
- Alicia F Mudgett
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 11, 2021
- Certification date
- Jun 11, 2021
- Last updated
- Jun 11, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 0573 | NH | Yes |
Practice location
1857 White Mountain HwyNorth Conway, NH 03860-5158
Phone 603-730-5356 · Fax 603-730-5477
Mailing address
Po Box 354Chocorua, NH 03817-0354
Phone 207-604-0360
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