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Individual
KRISTINE M CARLSON
Active
Individual
KRISTINE M CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DI60505771
WA
133V00000X
Registered Dietitian
Primary
DI60505771
WA
Other
Enumeration date
12/08/2011
Last updated
06/11/2019
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