Amy Hanneke, RDN, LD
NPI #1033638952 in Soda Springs, Idaho
Provider Information
- NPI Number
- 1033638952
- Entity Type
- Individual
- Name
- Amy Hanneke, RDN, LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RDN, LD
- Enumeration Date
- Sep 12, 2017
- Last Updated
- Mar 20, 2018
Practice Location
- Address
- 320 ASHLAND ST.
- Address 2
- APT. 1
- City
- Soda Springs
- State
- Idaho
- ZIP Code
- 83276-8327
- Phone
- (314) 591-6429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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