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Individual

NANCI GRAYSON JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., RDN, LD

Contact information

Practice address
8500 N. ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5100
(208) 415-5101
Mailing address
8500 N. ATLAS RD, HAYDEN, ID 83835-8332
(208) 415-5100
(208) 415-5101

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/11/2019
Last updated
04/11/2019
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