BRENDA LYNN BOURN

BOISE, ID
NPI1477728178
Former NameBRENDA LYNN STEINOCKER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-742)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: AZ  00864302)
133V00000X Dietitian, Registered
(Licence: NM  00777)
Enumeration Date2008-04-24
Last Update Date2015-07-08
Business Address
-- BRENDA LYNN BOURN RD
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155
Mailing Address
-- BRENDA LYNN BOURN RD
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222