Individual
RALYN HELEN LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11660 W EXECUTIVE DR, BOISE, ID 83713-8996
(208) 323-0303
(208) 375-3916
Mailing address
11660 W EXECUTIVE DR, BOISE, ID 83713-8996
(208) 323-0303
(208) 375-3916
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-566
ID
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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