| NPI | 1467680314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOLYN SEIBERT Owner/President 208-343-3883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: ID D043) |
| Enumeration Date | 2009-06-30 |
| Last Update Date | 2009-06-30 |