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Individual

CLAIR HAL WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
4506 N TATTENHAM WAY, BOISE, ID 83713-2524
(208) 841-7698
Mailing address
4506 N TATTENHAM WAY, BOISE, ID 83713-2524
(208) 841-7698
(208) 841-7698

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
171400000X
Health & Wellness Coach
174200000X
Meals Provider
177F00000X
Lodging Provider
347C00000X
Private Vehicle
372600000X
Adult Companion
376J00000X
Homemaker
Primary

Other

Enumeration date
11/08/2023
Last updated
11/08/2023
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