JEANNEE DIAZ

BOISE, ID
NPI1164540209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-146)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- JEANNEE DIAZ RD
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-311-1155
Mailing Address
-- JEANNEE DIAZ RD
6516 W OUTLOOK DR
BOISE, ID 83714-5402
Phone number: 208-853-3815