Individual
LESLEE ELYSE BLANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1542 E 73RD S, IDAHO FALLS, ID 83404-7879
(208) 529-1390
Mailing address
1542 E 73RD S, IDAHO FALLS, ID 83404-7879
(208) 529-1390
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-944
ID
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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