MRS. Tracy Bento, RD, CDCES, CSOWM

NPI #1134284045 in Eagle, Idaho

Provider Information

NPI Number: 1134284045
Entity Type: Individual
Name: MRS. Tracy Bento, RD, CDCES, CSOWM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered - Nutrition, Obesity and Weight Management
Credential: RD, CDCES, CSOWM
Enumeration Date: Dec 22, 2006
Last Updated: Sep 20, 2023

Practice Location

Address: 803 S SHORT LN
City: Eagle
State: Idaho
ZIP Code: 83616-4122
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
Dietitian, Registered	133V00000X

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