NPI age
16 years
Enumerated 2009-09-21
Across 505 active dietitian, registered providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 2075626 | |
| 05 (ID) | 1114251378 |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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