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Individual

AUTUMN ROSE RAUCHWERK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
1216 N 8TH ST, BOISE, ID 83702-4221
(208) 391-3709
Mailing address
1216 N 8TH ST, BOISE, ID 83702-4221

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86132727
133V00000X
Registered Dietitian
Primary
D-1524
ID

Other

Enumeration date
09/27/2023
Last updated
04/27/2025
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