Individual
ALEXIS VILLARET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2939 W EXCURSION LN, MERIDIAN, ID 83642-5308
(208) 385-7711
Mailing address
1855 N GROVELAND PL, EAGLE, ID 83616-4275
(208) 573-2877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1397
ID
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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