Renee Beth Carlson

NPI #1659923654 in Decorah, Iowa

Provider Information

NPI Number: 1659923654
Entity Type: Individual
Name: Renee Beth Carlson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Mastectomy Fitter
Enumeration Date: Jul 10, 2019
Last Updated: Jul 10, 2019

Practice Location

Address: 111 E WATER ST
City: Decorah
State: Iowa
ZIP Code: 52101-1801
Phone: (563) 382-6212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mastectomy Fitter	224900000X	Primary

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