Individual
MRS. BARBARA LYNN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSO
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-3151
(208) 367-4865
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-3151
(208) 367-4865
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D256
ID
Other
Enumeration date
05/25/2016
Last updated
05/25/2016
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