TENNILLE IRENE HOUSTON

BURLEY, ID
NPI1003996398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-348)
Enumeration Date2006-10-17
Last Update Date2007-07-08
Business Address
-- TENNILLE IRENE HOUSTON MHE, RD, LD, CDE
1501 HILAND AVE CASSIA REGIONAL MEDICAL CENTER
BURLEY, ID 83318-2682
Phone number: 208-677-6587
Mailing Address
-- TENNILLE IRENE HOUSTON MHE, RD, LD, CDE
278 DOLLAR HIDE WAY
JEROME, ID 83338-6554
Phone number: 208-731-8789
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