CAROLYN RENE RICHIE

FORT WAYNE, IN
NPI1154786143
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IN  37002082A)
Enumeration Date2015-12-18
Last Update Date2015-12-18
Business Address
Mrs. CAROLYN RENE RICHIE RD, CD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
Mrs. CAROLYN RENE RICHIE RD, CD
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431