Individual
SARAH BRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
356 MOUNTAIN SMITH ESTS, COCOLALLA, ID 83813-6002
(707) 696-0442
Mailing address
356 MOUNTAIN SMITH ESTS, COCOLALLA, ID 83813-6002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
10148795
OR
133V00000X
Registered Dietitian
3326
MA
133V00000X
Registered Dietitian
Primary
637
ID
Other
Enumeration date
08/20/2012
Last updated
08/20/2012
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