Individual
CARLIE ASTON BRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DTR
Contact information
Practice address
164 WILSON HTS, KALISPELL, MT 59901-7468
(319) 429-5978
Mailing address
4022 E. GREENWAY RD., STE 11 #175, PHOENIX, AZ 85032
(319) 429-5978
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/12/2019
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