SHELBY SHANABERGER

BOISE, ID
NPI1649661638
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-832)
Enumeration Date2015-02-11
Last Update Date2015-02-11
Business Address
-- SHELBY SHANABERGER RD
300 E BANNOCK ST
BOISE, ID 83712-6207
Phone number: 208-342-1664
Mailing Address
-- SHELBY SHANABERGER RD
4031 E CONKLIN DR
MERIDIAN, ID 83646-7636
Phone number: 509-554-6186
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