BARBARA J MOULTON

IDAHO FALLS, ID
NPI1275552978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: ID  D311)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- BARBARA J MOULTON
2220 E 25TH ST
IDAHO FALLS, ID 83404-7542
Phone number: 208-523-1122
Mailing Address
-- BARBARA J MOULTON
2220 E 25TH ST
IDAHO FALLS, ID 83404-7542
Phone number: 208-523-1122
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