Individual
SUZETTE HOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2456
Mailing address
656 N 600 E, BRIGHAM CITY, UT 84302-1604
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
281532-4901
UT
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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