Individual
MRS. CARRIE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
43 SAW MILL LN, SHICKSHINNY, PA 18655-4626
(570) 542-7253
Mailing address
43 SAW MILL LN, SHICKSHINNY, PA 18655-4626
(570) 542-7253
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003088
PA
Other
Enumeration date
02/16/2008
Last updated
05/01/2010
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