STEPHANIE CARLSON
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1669936035- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 5237 W CITRUSWOOD DR, POST FALLS, ID, 838545198
- Phone
- (208) 819-5974
Specialties & Taxonomies
Dietitian, Registered
License: ID #D920
Dietitian, Registered
Primary License: WA #DI60659113
All Addresses
MAILING
5237 W CITRUSWOOD DR
POST FALLS, ID, 838545198