Individual
KRISTINE RANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3100 CHANNING WAY, IDAHO FALLS, ID 83404-7533
(208) 529-6100
Mailing address
2920 SIMON ST, IDAHO FALLS, ID 83402-5637
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
600
ID
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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