Individual
ALEXIS BLASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(208) 354-6317
Mailing address
120 E HOWARD ST, DRIGGS, ID 83422-5112
(208) 354-6317
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1478
ID
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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