Organization
NUTRITION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOLYN SEIBERT RD (OWNER/PRESIDENT)
(208) 343-3883
Entity
Organization
Contact information
Practice address
2472 W LADLE RAPIDS ST, MERIDIAN, ID 83646-4771
(208) 343-3883
(208) 493-3087
Mailing address
2472 W LADLE RAPIDS ST, MERIDIAN, ID 83646-4771
(208) 343-3883
(208) 493-3087
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D043
ID
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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