Individual
MRS. JULIE J HANKSJONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
6506 W. COLONIAL DRIVE, BOISE, ID 83709
(208) 867-9165
Mailing address
6506 W. COLONIAL DRIVE, BOISE, ID 83709
(208) 867-9165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-158
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447372453
NATIONAL PROVIDER INFORMATION
ID
05
—
8063175
—
ID
Enumeration date
04/03/2007
Last updated
03/18/2014
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