Individual
CARYN ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSP, CD
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
(253) 403-7767
Mailing address
9204 PERIWINKLE LOOP NE, LACEY, WA 98516-3899
(330) 550-9124
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1002671
OH
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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