Individual
ROBIN MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1016
Mailing address
PO BOX 438, WENDELL, ID 83355-0438
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
6871949
ID
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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