Individual
CAROLYN MERGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55578 LONGSTREET DR APT 1, FORT RILEY, KS 66442-3677
(714) 234-0262
Mailing address
650 HUEBNER RD, FORT RILEY, KS 66442-4030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2388
KS
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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