SHALISSA MARIE TOMKINSON

TWIN FALLS, ID
NPI1063288892
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-1600)
Enumeration Date2023-12-01
Last Update Date2024-04-10
Business Address
SHALISSA MARIE TOMKINSON
801 POLE LINE RD W RM H1155
TWIN FALLS, ID 83301-5810
Phone number: 208-814-1016
Mailing Address
SHALISSA MARIE TOMKINSON
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: