KAREN MANGUM

BOISE, ID
NPI1194264077
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-208)
Enumeration Date2017-02-13
Last Update Date2017-02-13
Business Address
-- KAREN MANGUM M.S., R.D.N., L.D.
115 N. MAIN STREET SUITE #203
BOISE, ID 83702
Phone number: 208-381-8330
Mailing Address
-- KAREN MANGUM M.S., R.D.N., L.D.
4726 W CLEAR FIELD DR
EAGLE, ID 83616-6957
Phone number: 208-440-5041