Individual
CAITLIN ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
709 S LONE BROOK WAY, EAGLE, ID 83616-4727
(801) 472-1981
Mailing address
709 S LONE BROOK WAY, EAGLE, ID 83616-4727
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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