Individual
LYNNETTE TRICIA ANN BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
3910 WASHINGTON PKWY, IDAHO FALLS, ID 83404-7883
(208) 523-1122
(208) 523-2582
Mailing address
8125 N NEVA RD, POCATELLO, ID 83204-7003
(208) 589-2421
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1031468
ID
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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