CRYSTAL MICHELLE PACE

PORTLAND, ME
NPI1225497126
Former NameCRYSTAL MICHELLE CASCIO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: NY  86050249)
133V00000X Dietitian, Registered
(Licence: NY  009044-1)
Enumeration Date2016-02-19
Last Update Date2022-07-07
Business Address
CRYSTAL MICHELLE PACE RD
667 CONGRESS ST APT 302
PORTLAND, ME 04101-5171
Phone number: 914-469-7804
Mailing Address
CRYSTAL MICHELLE PACE RD
667 CONGRESS ST APT 302
PORTLAND, ME 04101-5171
Phone number: 914-469-7804