BRYAN DRAIN

CALDWELL, ID
NPI1588066336
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-797)
Enumeration Date2014-09-24
Last Update Date2014-10-10
Business Address
Mr. BRYAN DRAIN RD
1906 FAIRVIEW AVE
CALDWELL, ID 83605-5407
Phone number: 208-402-0636
Mailing Address
Mr. BRYAN DRAIN RD
1906 FAIRVIEW AVE
CALDWELL, ID 83605-5407
Phone number: 208-402-0636
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