MACEY RENAE LEATHAM

IDAHO FALLS, ID
NPI1043801087
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  86096533)
Enumeration Date2021-02-02
Last Update Date2021-02-02
Business Address
MACEY RENAE LEATHAM RDN
1298 IDAHO AVE APT 1
IDAHO FALLS, ID 83402-1247
Phone number: 208-716-0244
Mailing Address
MACEY RENAE LEATHAM RDN
1298 IDAHO AVE APT 1
IDAHO FALLS, ID 83402-1247
Phone number: 208-716-0244
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