Carnie S Datres, RD, LDN

NPI #1598009706 in Williamsport, Pennsylvania

Provider Information

NPI Number
1598009706
Entity Type
Individual
Name
Carnie S Datres, RD, LDN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LDN
Enumeration Date
Nov 15, 2012
Last Updated
Dec 11, 2013

Practice Location

Address
460 MARKET ST
Address 2
THE WILLIAMSPORT BUILDING SUITE 212
ZIP Code
17701-6385
Phone
(570) 745-3776

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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