MARY ANN BROTHER

BOISE, ID
NPI1134224421
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-092)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
-- MARY ANN BROTHER R.D.
500 WEST FORT
BOISE, ID 83702
Phone number: 208-422-1141
Mailing Address
-- MARY ANN BROTHER R.D.
4443 MACKENZIE
BOISE, ID 83703
Phone number: 208-422-1141
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