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Individual

MRS. MOLLY CAY TEVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
520 S EAGLE RD, SUITE 1223, MERIDIAN, ID 83642-6351
(208) 706-5260
(208) 706-5152
Mailing address
520 S EAGLE RD, SUITE 1223, MERIDIAN, ID 83642-6351
(208) 706-5260
(208) 706-5152

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D687
ID

Other

Enumeration date
10/27/2015
Last updated
10/27/2015
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