Individual
MRS. CHRISTINE C CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
80 ASPEN LOOK DR, HENRIETTA, NY 14467-8900
(585) 359-0674
Mailing address
80 ASPEN LOOK DRIVE, HENRIETTA, NY 14467
(585) 359-0674
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003046-1
NY
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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