Individual
NICOLE CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20277 SW MONSON ST, ALOHA, OR 97003-8013
(971) 238-2838
Mailing address
20277 SW MONSON ST, ALOHA, OR 97003-8013
(971) 238-2838
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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