ANNA LONG

IDAHO FALLS, ID
NPI1801114855
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-325)
Enumeration Date2010-05-13
Last Update Date2010-05-13
Business Address
Mrs. ANNA LONG RD, LD
4150 SILVERADO DR
IDAHO FALLS, ID 83404-7788
Phone number: 208-589-3271
Mailing Address
Mrs. ANNA LONG RD, LD
4150 SILVERADO DR
IDAHO FALLS, ID 83404-7788
Phone number: 208-589-3271
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