Organization
AUTUMN ROSE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN ROSE RAUCHWERK RDN (OWNER)
(908) 309-1450
Entity
Organization
Contact information
Practice address
3350 W AMERICANA TER STE 360F, BOISE, ID 83706-2521
(208) 391-3709
Mailing address
1216 N 8TH ST, BOISE, ID 83702-4221
(908) 309-1450
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
06/21/2025
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