Whole Body Nutrition And Fitness | |
2518 N Lancaster Dr, Boise, ID 83702-0635 | |
(208) 991-2066 | |
(888) 412-1479 |
Full Name | Whole Body Nutrition And Fitness |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 2518 N Lancaster Dr, Boise, Idaho |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700583739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Andrea L Bailey |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1205284213 PECOS PAC ID: 4688919715 Enrollment ID: I20181218003216 |
Mailing Address | Practice Location Address |
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Whole Body Nutrition And Fitness 2518 N Lancaster Dr, Boise, ID 83702-0635 Ph: (208) 991-2066 | Whole Body Nutrition And Fitness 2518 N Lancaster Dr, Boise, ID 83702-0635 Ph: (208) 991-2066 |
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