Ms Laura Jean Moulton, RDN | |
285 E 4th N, Mountain Home, ID 83647-2716 | |
(208) 590-0858 | |
(855) 740-2997 |
Full Name | Ms Laura Jean Moulton |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 285 E 4th N, Mountain Home, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558861831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | D-039 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ms Laura Jean Moulton, RDN Po Box 425, Mountain Home, ID 83647-0425 Ph: (208) 590-0858 | Ms Laura Jean Moulton, RDN 285 E 4th N, Mountain Home, ID 83647-2716 Ph: (208) 590-0858 |
Austen Davis Kemper, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2280 American Legion Blvd, Mountain Home, ID 83647 Phone: 208-881-1960 | |
Mountain Home Nutrition Services Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 285 E 4th N, Mountain Home, ID 83647 Phone: 208-590-0858 | |
Jacob Hohenshelt, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 895 N 6th E, Mountain Home, ID 83647 Phone: 208-841-5393 |