Individual
MRS. ASHLEY RYAN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
9040 FITZSIMMONS DR, JOINT BASE LEWIS MCCHORD, WA 98431-1000
(253) 968-1936
(253) 968-0567
Mailing address
MEDDAC, 11050 MOUNT BELVEDERE BLVD, FORT DRUM, NY 13602
(315) 772-4759
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004015
GA
Other
Enumeration date
09/12/2011
Last updated
07/11/2018
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