Individual
CARLY FAZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CPT
Contact information
Practice address
6283 LIBERTY HILL PT, COLORADO SPRINGS, CO 80923-1128
(954) 599-1144
Mailing address
6283 LIBERTY HILL PT, COLORADO SPRINGS, CO 80923-1128
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND8673
FL
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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