MELISSA MARIE WALLINGA

BOISE, ID
NPI1235538802
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1004X Dietitian, Registered, Nutrition, Pediatric
(Licence: ID  D-827)
Enumeration Date2014-08-19
Last Update Date2014-08-19
Business Address
Mrs. MELISSA MARIE WALLINGA MS, RD, LD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
Mailing Address
Mrs. MELISSA MARIE WALLINGA MS, RD, LD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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