Individual
CHANEL DRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2960 E. ST. LUKE'S STREET SUITE 200, MERIDIAN, ID 83642-9005
(208) 378-4264
Mailing address
2960 E. ST. LUKE'S STREET SUITE 200, MERIDIAN, ID 83642-9099
(208) 378-4264
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1288
ID
Other
Enumeration date
08/02/2021
Last updated
11/04/2021
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