Individual
WENDOLYN E MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
COUNTY ROAD 62 C, BONNERS FERRY, ID 83805-1226
(208) 267-2570
Mailing address
PO BOX 1226, BONNERS FERRY, ID 83805-1226
(208) 267-2570
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-182
ID
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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