Macey Renae Leatham, RDN
NPI #1043801087 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1043801087
- Entity Type
- Individual
- Name
- Macey Renae Leatham, RDN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RDN
- Enumeration Date
- Feb 2, 2021
- Last Updated
- Feb 2, 2021
Practice Location
- Address
- 1298 IDAHO AVE APT 1
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-1247
- Phone
- (208) 716-0244
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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