Individual
CAROLYN D SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
500 W FORT ST, BOISE, ID 83702
(208) 422-1141
Mailing address
2227 FREDERIC ST, BOISE, ID 83705
(208) 344-1014
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D098
ID
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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