Individual
MRS. JUDY LORAINE CARVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LD, CDE
Contact information
Practice address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7980
(417) 678-7864
Mailing address
500 PORTER AVE, AURORA, MO 65605-2365
(417) 678-7980
(417) 678-7864
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001007131
MO
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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