CARLY RUTH METCALF

BOISE, ID
NPI1790343127
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-1129)
Enumeration Date2019-05-31
Last Update Date2019-05-31
Business Address
CARLY RUTH METCALF RD, LD
3562 S TK AVE
BOISE, ID 83705-5278
Phone number: 907-854-0612
Mailing Address
CARLY RUTH METCALF RD, LD
445 E 50TH ST APT D304
GARDEN CITY, ID 83714-1425
Phone number: 907-854-0612
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