Individual
JOLYN M SEIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2472 W. LADLE RAPIDS STREET, MERIDIAN, ID 83646-4771
(208) 343-3883
(208) 493-3087
Mailing address
2472 W LADLE RAPIDS ST, MERIDIAN, ID 83646-4771
(208) 343-3883
(208) 493-3078
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D043
ID
Other
Enumeration date
02/07/2008
Last updated
07/01/2009
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