Individual
MRS. CLARA MARIE FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSR, CDE
Contact information
Practice address
3525 E LOUISE DR, SUITE 100, MERIDIAN, ID 83642-6302
(208) 846-8335
(208) 846-8336
Mailing address
3525 E LOUISE DR, SUITE 100, MERIDIAN, ID 83642-6302
(208) 846-8335
(208) 846-8336
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
D-114
ID
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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