Individual
MS. ANGELA KAY SPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
707 N ARMSTRONG PL, BOISE, ID 83704-0825
(208) 327-8545
Mailing address
707 N ARMSTRONG PL, BOISE, ID 83704-0825
(208) 327-8545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D104
ID
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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