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Individual

LEAH JOY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., IBCLC

Contact information

Practice address
1310 E BIRCH AVE, COEUR D ALENE, ID 83814-4436
(315) 244-0677
Mailing address
1310 E BIRCH AVE, COEUR D ALENE, ID 83814-4436
(315) 244-0677

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-955
ID

Other

Enumeration date
12/08/2016
Last updated
12/08/2016
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