Individual
TIFFANY NICOLE CARSTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
10201 WINCOPIN CIR APT 701, COLUMBIA, MD 21044-3461
(240) 274-2048
Mailing address
1133 ASHLAND RD APT 1303, COLUMBIA, MO 65201-8532
(417) 521-4697
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4570
MD
Other
Enumeration date
10/09/2017
Last updated
11/05/2020
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