Individual
HEIDI MARQUART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(083) 546-3172
(208) 354-6318
Mailing address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(707) 330-4117
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1291
ID
Other
Enumeration date
12/16/2022
Last updated
12/19/2022
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