Organization
WHOLE BODY NUTRITION AND FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L BAILEY RD (OWNER, REGISTERED DIETITIAN)
(208) 991-2066
Entity
Organization
Contact information
Practice address
2518 N LANCASTER DR, BOISE, ID 83702-0635
(208) 991-2066
(888) 412-1479
Mailing address
2518 N LANCASTER DR, BOISE, ID 83702-0635
(208) 991-2066
(888) 412-1479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
10/02/2023
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