Individual
SYDNEY JUNE DUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MDA, RDN, LD
Contact information
Practice address
1957 E 17TH ST, IDAHO FALLS, ID 83404-6429
(208) 523-1100
Mailing address
1957 E 17TH ST, IDAHO FALLS, ID 83404-6429
(208) 523-1100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86374369
ID
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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