Individual
MRS. ANGELA MEGHAN KONEGNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSR, LD
Contact information
Practice address
212 S 11TH ST STE 4B, COEUR D ALENE, ID 83814-4000
(208) 278-6388
(208) 601-6177
Mailing address
2915 E FERNAN CT, COEUR D ALENE, ID 83814-5803
(925) 818-9399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1102808
CA
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1102808
CA
Other
Enumeration date
08/12/2022
Last updated
12/11/2024
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