Individual
CARLY FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
13400 STATE HIGHWAY 131, YAMPA, CO 80483
(970) 291-8962
Mailing address
PO BOX 45, YAMPA, CO 80483-0045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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