JACQUELINE CARLSON

ERIE, PA
NPI1942291935
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: PA  DN006773)
Additional Taxonomies133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: NY  000806)
Enumeration Date2005-10-31
Last Update Date2022-08-15
Business Address
JACQUELINE CARLSON RD CDE
145 W 23RD ST
ERIE, PA 16502-2858
Phone number: 814-835-2626
Mailing Address
JACQUELINE CARLSON RD CDE
145 W 23RD ST STE 202
ERIE, PA 16502-2858
Phone number: 814-835-2626