MEDINA E BLANCHET

BOISE, ID
NPI1851683056
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-741)
Enumeration Date2011-05-05
Last Update Date2023-09-07
Business Address
MEDINA E BLANCHET RD
13900 W WAINWRIGHT DR STE 103
BOISE, ID 83713-5028
Phone number: 208-433-9424
Mailing Address
MEDINA E BLANCHET RD
12747 N 11TH AVE
BOISE, ID 83714-9334
Phone number: 208-391-3353