Stephanie Carlson

NPI #1669936035 in Post Falls, Idaho

Provider Information

NPI Number
1669936035
Entity Type
Individual
Name
Stephanie Carlson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Enumeration Date
Jan 29, 2019
Last Updated
Jan 29, 2019

Practice Location

Address
5237 W CITRUSWOOD DR
State
Idaho
ZIP Code
83854-5198
Phone
(208) 819-5974

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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