Individual
TARYN CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19817 127TH STREET CT E, BONNEY LAKE, WA 98391-5417
(202) 763-5378
Mailing address
19817 127TH STREET CT E, BONNEY LAKE, WA 98391-5417
(202) 763-5378
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
71714741
VA
171400000X
Health & Wellness Coach
Primary
79763714
VA
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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