Individual
BLAKELEY JANE BURATTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP,RWP
Contact information
Practice address
237 S GRANITE BAY RD, NORDMAN, ID 83848-4900
(360) 521-7480
Mailing address
237 S GRANITE BAY RD, NORDMAN, ID 83848-4900
(360) 521-7480
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
ID
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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