KATIE MALISSA MIEDEMA

MERIDIAN, ID
NPI1689266629
Former NameKATIE MALISSA MCCARTHY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-1173)
Enumeration Date2021-02-10
Last Update Date2021-02-10
Business Address
KATIE MALISSA MIEDEMA MPH, RD
3000 E LUCCA DR
MERIDIAN, ID 83642-3083
Phone number: 949-572-9275
Mailing Address
KATIE MALISSA MIEDEMA MPH, RD
1740 E FAIRVIEW AVE # 99
MERIDIAN, ID 83642-5702
Phone number: 949-572-9275
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