Individual
SHAWN KATRINA FOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCHN
Contact information
Practice address
550 WALL CREEK RD, CLEARWATER, ID 83552-5052
(602) 750-5799
Mailing address
550 WALL CREEK RD, CLEARWATER, ID 83552-5052
(602) 750-5799
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
174H00000X
Health Educator
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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