ANDREA PORTER

IDAHO FALLS, ID
NPI1376114389
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-934)
Enumeration Date2021-07-09
Last Update Date2026-01-12
Business Address
ANDREA PORTER RDN
935 E LINCOLN RD
IDAHO FALLS, ID 83401-2119
Phone number: 208-552-0800
Mailing Address
ANDREA PORTER RDN
1206 DANIELLE WAY
BLACKFOOT, ID 83221-5896
Phone number: 120-822-6420