Individual
ANN MARYROSE CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LMNT
Contact information
Practice address
300 MOUNT LOWE DR, BAKERSFIELD, CA 93309-2468
(661) 699-8923
Mailing address
300 MOUNT LOWE DR, BAKERSFIELD, CA 93309-2468
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116638
CA
Other
Enumeration date
03/22/2020
Last updated
03/22/2020
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