Individual
PAMELA MILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDE
Contact information
Practice address
150 N 200 W, MALAD CITY, ID 83252-1239
(208) 766-2231
(208) 766-4819
Mailing address
150 N 200 W, MALAD CITY, ID 83252-1239
(208) 766-2231
(208) 766-4819
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-313
ID
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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