Individual
ALI M CARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
489 STATE ST, BANGOR, ME 04401-6616
(207) 356-4202
Mailing address
489 STATE ST, BANGOR, ME 04401-6616
(207) 356-4202
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1184
ME
Other
Enumeration date
12/10/2013
Last updated
12/10/2013
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