Individual
ELAINE MOQUETTE-MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706-3999
(650) 681-7816
(623) 869-1840
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3999
(650) 681-7816
(623) 869-1840
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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