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Individual

BRENT EDWARD CARNEY II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4066
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(253) 426-4066

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001555
WA

Other

Enumeration date
01/16/2007
Last updated
07/25/2007
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