KRISTINA STICKLEY

IDAHO FALLS, ID
NPI1154944288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-1127)
Enumeration Date2020-05-22
Last Update Date2020-05-22
Business Address
KRISTINA STICKLEY RDN, LD, CHES
3100 CHANNING WAY
IDAHO FALLS, ID 83404-7533
Phone number: 208-529-6111
Mailing Address
KRISTINA STICKLEY RDN, LD, CHES
3635 SILVERSTONE DR
IDAHO FALLS, ID 83401-3583
Phone number: