Jenna Rae Carlson, RDMN

NPI #1902356785 in Chinle, Arizona

Provider Information

NPI Number: 1902356785
Entity Type: Individual
Name: Jenna Rae Carlson, RDMN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RDMN
Enumeration Date: Oct 5, 2016
Last Updated: Oct 5, 2016

Practice Location

Address: HIGHWAY 191 AND HOSPITAL ROAD
City: Chinle
State: Arizona
ZIP Code: 86503
Phone: (928) 674-7166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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