Individual
BETTY R TROUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
287 W JEFFERSON ST, BOISE, ID 83702-6045
(208) 343-7940
(208) 385-7708
Mailing address
190 E BANNOCK ST, BOISE, ID 83712
(208) 343-7940
(208) 385-7708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-142
ID
Other
Enumeration date
07/06/2007
Last updated
07/19/2011
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