Organization
BALANCED BITES NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY BENTO RD, CDCES, CSOWM (REGISTERED DIETITIAN)
(208) 954-0862
Entity
Organization
Contact information
Practice address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 954-0862
(208) 668-8871
Mailing address
408 S EAGLE RD STE 205, EAGLE, ID 83616-6079
(208) 954-0862
(208) 668-8871
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/19/2023
Last updated
11/21/2024
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