Individual
MRS. KARA JO HERNDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1014 BURRELL AVE, LEWISTON, ID 83501-5472
(208) 748-4558
Mailing address
3440 5TH ST, LEWISTON, ID 83501-4538
(509) 330-1368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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