NPI age
3 years
Enumerated 2022-08-19
Across 505 active dietitian, registered providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | D-1284 | PRIVATE PRACTICE |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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