BOISE OPTIMAL NUTRITION LLC

BOISE, ID
NPI1538625827
Entity TypeOrganization
Authorized ContactMEDINA E BLANCHET
Managing Member/Provider
425-220-9972
Organization Subpart ?No
Primary Taxonomy133V00000X Dietitian, Registered
Enumeration Date2019-02-12
Last Update Date2023-09-07
Business Address
BOISE OPTIMAL NUTRITION LLC
6126 W STATE ST STE 206
BOISE, ID 83703-2741
Phone number: 208-391-3353
Mailing Address
BOISE OPTIMAL NUTRITION LLC
12747 N 11TH AVE
BOISE, ID 83714-9334
Phone number: 425-220-9972
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