Individual
LUANA TOMCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1957 E 17TH ST, IDAHO FALLS, ID 83404-6429
(208) 529-2352
(208) 528-3332
Mailing address
1957 E 17TH ST, IDAHO FALLS, ID 83404-6429
(208) 529-2352
(208) 528-3332
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-106
ID
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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