Individual
JACOB HOHENSHELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
895 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 841-5393
Mailing address
2481 W WILLARD ST, MERIDIAN, ID 83642-4316
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/01/2021
Last updated
09/01/2021
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