Individual
SHEBA SUE NALLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1973 WHITE AVE APT 406, MOSCOW, ID 83843-3981
(208) 596-9876
Mailing address
1973 WHITE AVE APT 406, MOSCOW, ID 83843-3981
(208) 596-9876
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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