KATHARINE ELIZABETH DE GENNARO

BOISE, ID
NPI1396335378
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-1211)
Additional Taxonomies133V00000X Dietitian, Registered
Enumeration Date2021-01-22
Last Update Date2024-10-29
Business Address
KATHARINE ELIZABETH DE GENNARO
100 E IDAHO ST
BOISE, ID 83712-6267
Phone number: 208-381-2711
Mailing Address
KATHARINE ELIZABETH DE GENNARO
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: