Individual
MS. TRACY JO GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
705 EBONY ST, POCATELLO, ID 83201-5643
(208) 221-9085
Mailing address
705 EBONY ST, POCATELLO, ID 83201-5643
(208) 221-9085
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-748
ID
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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