Organization
NUTRITION DEJUNKED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN CALLAHAN MS, RDN, LD (DIETITIAN)
(208) 629-2441
Entity
Organization
Contact information
Practice address
3350 W AMERICANA TER STE 215, BOISE, ID 83706-2545
(208) 629-2441
Mailing address
3350 W AMERICANA TER STE 215, BOISE, ID 83706-2545
(208) 629-2441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/20/2020
Last updated
05/21/2020
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