MARISUE SMITH

BOISE, ID
NPI1710328836
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-767)
Enumeration Date2013-07-17
Last Update Date2016-03-18
Business Address
-- MARISUE SMITH RD, CDE
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-331-1155
Mailing Address
-- MARISUE SMITH RD, CDE
1226 W RIVER ST
BOISE, ID 83702-7049
Phone number: 208-381-2222
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