Individual
MRS. MIKYAH HOPE OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1415 E COEUR D ALENE AVE APT 1, COEUR D ALENE, ID 83814-4180
(208) 215-8727
Mailing address
1415 E COEUR D ALENE AVE APT 1, COEUR D ALENE, ID 83814-4180
(208) 215-8727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1086
ID
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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