NPI age
10 years
Enumerated 2015-07-23
Across 505 active dietitian, registered providers in Idaho.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 1336524040 | |
| 01 (WA) | P01663048 | RR PTAN WVH |
Part of a multi-provider practice. 186 other active providers share this practice address in NPPES.
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