Individual
MYAH MERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2645 N COLE RD STE E, BOISE, ID 83704-5970
(208) 629-4255
Mailing address
691 FEATHER DR, SAN MARCOS, CA 92069-7383
(760) 522-4178
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86293024
CA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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