Balanced Bites Nutrition LLC

NPI #1114709573 in Eagle, Idaho

Provider Information

NPI Number: 1114709573
Entity Type: Organization
Organization Name: Balanced Bites Nutrition LLC
Primary Specialty: Dietitian, Registered - Nutrition, Obesity and Weight Management
Enumeration Date: Oct 19, 2023
Last Updated: Nov 21, 2024

Practice Location

Address: 408 S EAGLE RD STE 205
City: Eagle
State: Idaho
ZIP Code: 83616-6079
Phone: (208) 954-0862

Authorized Official

Name: TRACY BENTO, RD, CDCES, CSOWM
Title: REGISTERED DIETITIAN
Phone: (208) 954-0862

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management	133VN1201X	Primary

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