Individual
MINDY RICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
220 E 5TH ST, SUITE 309, MOSCOW, ID 83843-2977
(208) 406-1961
Mailing address
220 E 5TH ST, SUITE 309, MOSCOW, ID 83843-2977
(208) 406-1961
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-453
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D-453
IDAHO BOARD OF MEDICINE
ID
Enumeration date
08/03/2016
Last updated
08/03/2016
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