Individual
SEANNE JO SAFAII
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 HEAVEN'S GATE CT. #1910, MCCALL, ID 83638
(208) 660-7950
Mailing address
1100 HEAVEN'S GATE CT. #1910, MCCALL, ID 83638
(208) 660-7950
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-750
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D-750
IDAHO STATE BOARD OF MEDICINE
ID
Enumeration date
02/20/2019
Last updated
02/20/2019
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