Individual
SARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
911 PIONEER DR, SODA SPRINGS, ID 83276-2310
(208) 547-7630
Mailing address
911 PIONEER DR, SODA SPRINGS, ID 83276-2310
(208) 547-7630
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1255
ID
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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