Individual
CARRIE PROCINSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3711 TARTAN LN, HOUSTON, TX 77025-2409
(832) 228-2513
Mailing address
3711 TARTAN LN, HOUSTON, TX 77025-2409
(832) 228-2513
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NUTRITIONIST
—
Enumeration date
08/30/2022
Last updated
08/30/2022
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