Individual
ASHLEY A GORHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 666-2000
(208) 666-3963
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
(208) 666-2000
(208) 666-3963
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D599
ID
Other
Enumeration date
05/02/2011
Last updated
10/01/2020
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