Individual
STORMI NIEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 E JEFFERSON ST, BOISE, ID 83712-6231
(208) 381-7081
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86290639
—
133V00000X
Registered Dietitian
Primary
D-1328
ID
Other
Enumeration date
02/27/2023
Last updated
05/15/2023
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