Individual
MARY SKOGLUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD, CDCES
Contact information
Practice address
753 BRENT DR, MOSCOW, ID 83843-8519
(208) 503-3832
Mailing address
753 BRENT DR, MOSCOW, ID 83843-8519
(208) 503-3832
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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