MARY M BOSCO

MERIDIAN, ID
NPI1871867879
Other NameMARY M PAUL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-751)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: CA  852745)
Enumeration Date2012-03-08
Last Update Date2013-08-06
Business Address
-- MARY M BOSCO RD
3250 W CHERRY LANE
MERIDIAN, ID 83642
Phone number: 208-367-6127
Mailing Address
-- MARY M BOSCO RD
3340 E GOLDSTONE WAY
MERIDIAN, ID 83642-1026
Phone number: 208-367-6127