Moriah Boyum

NPI #1144658352 in Tomah, Wisconsin

Provider Information

NPI Number: 1144658352
Entity Type: Individual
Name: Moriah Boyum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Oct 24, 2013
Last Updated: Aug 24, 2021

Practice Location

Address: 500 E VETERANS ST
City: Tomah
State: Wisconsin
ZIP Code: 54660-3105
Phone: (608) 372-3971

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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