Individual
ABBEY CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3935 N 75 W, HYDE PARK, UT 84318-4111
(435) 374-9586
Mailing address
3935 N 75 W, HYDE PARK, UT 84318-4111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
8772877-4901
UT
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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