SPRING CHUMANI BEAN

BOISE, ID
NPI1053640268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-608)
Enumeration Date2009-12-17
Last Update Date2009-12-17
Business Address
-- SPRING CHUMANI BEAN RD
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155
Mailing Address
-- SPRING CHUMANI BEAN RD
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155