Individual
CAROLYN BURDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CDE
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-3470
Mailing address
90 JOHN CT, DANVILLE, IN 46122-1994
(317) 745-3470
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000829A
IN
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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