Individual
CARRIE A MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 19TH AVE N, STE J, PMB 178, FARGO, ND 58102-4878
(701) 532-1683
Mailing address
1100 19TH AVE N STE 178, FARGO, ND 58102-5906
(701) 532-1683
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
226
ND
Other
Enumeration date
04/02/2020
Last updated
12/14/2020
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