Individual
SUSAN A. ORMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-9886
(208) 735-3718
Mailing address
267 N CANYON DR, GOODING, ID 83330-5500
(208) 934-9886
(208) 735-3718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-178
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184932584
—
ID
Enumeration date
03/13/2018
Last updated
03/13/2018
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