Mrs Melissa Marie Wallinga, MS, RD, LD | |
190 E Bannock St, Boise, ID 83712-6241 | |
(208) 381-2222 | |
Not Available |
Full Name | Mrs Melissa Marie Wallinga |
---|---|
Gender | Female |
Speciality | Dietitian, Registered - Nutrition, Pediatric |
Location | 190 E Bannock St, Boise, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235538802 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133VN1004X | Dietitian, Registered - Nutrition, Pediatric | D-827 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Melissa Marie Wallinga, MS, RD, LD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 | Mrs Melissa Marie Wallinga, MS, RD, LD 190 E Bannock St, Boise, ID 83712-6241 Ph: (208) 381-2222 |
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