Provider Demographics
NPI:1033687926
Name:ROBINSON, CAROLE (DTR)
Entity Type:Individual
Prefix:MRS
First Name:CAROLE
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:DTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1465 HOOKSETT RD UNIT 1013
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1821
Mailing Address - Country:US
Mailing Address - Phone:603-785-1051
Mailing Address - Fax:
Practice Address - Street 1:1465 HOOKSETT RD UNIT 1013
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1821
Practice Address - Country:US
Practice Address - Phone:603-785-1051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-08
Last Update Date:2018-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered