Individual
JUDY STEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 W MAIN ST STE 203, BOISE, ID 83702-7302
(208) 381-8333
Mailing address
115 W MAIN ST STE 203, BOISE, ID 83702-7302
(208) 381-8333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-534
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D-534
IDAHO STATE BOARD OF MEDICINE LICENSE
ID
Enumeration date
05/13/2014
Last updated
05/13/2014
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