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Individual

MEGAN DONNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404
(208) 535-0440
(208) 535-0550
Mailing address
2990 CORTEZ AVE, IDAHO FALLS, ID 83404-7554
(208) 535-0440
(208) 535-0550

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1045452
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1045452
REGISTERED DIETICIAN
ID
Enumeration date
05/16/2018
Last updated
05/16/2018
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