| NPI | 1487245122 |
|---|---|
| Doing Business As | ISU NUTRITION CLINIC |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEE ROCK Clinics Director Of Operations 208-373-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133NN1002X Nutritionist, Nutrition, Education |
| Additional Taxonomies | 133N00000X Nutritionist |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| 133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2021-01-26 |