Individual
DEBRA PICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2730
(208) 557-2701
Mailing address
2325 CORONADO ST, IDAHO FALLS, ID 83404-7407
(208) 557-2730
(208) 557-2701
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-775
ID
Other
Enumeration date
11/12/2013
Last updated
01/07/2019
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