WENDY L WHITESIDES

BURLEY, ID
NPI1932317609
Other NameWENDY SEAMONS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ID  D-161)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- WENDY L WHITESIDES
1501 HILAND AVE
BURLEY, ID 83318-2682
Phone number: 208-678-4444
Mailing Address
-- WENDY L WHITESIDES
238 S 50 W
BURLEY, ID 83318-5697
Phone number: 208-678-8155