JEAN L CARLSON

VANCOUVER, WA
NPI1467527051
Former NameJEAN L POFFENROTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WA  DI0001455)
Enumeration Date2006-11-21
Last Update Date2007-07-08
Business Address
JEAN L CARLSON RD
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-514-3049
Mailing Address
JEAN L CARLSON RD
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 98664-3200
Phone number: 360-514-3409
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