Marissa Rudley, RD

NPI #1184120255 in Moscow, Idaho

Provider Information

NPI Number: 1184120255
Entity Type: Individual
Name: Marissa Rudley, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Apr 5, 2018
Last Updated: Jan 22, 2025

Practice Location

Address: 417 GAMBELS LN
City: Moscow
State: Idaho
ZIP Code: 83843-8213
Phone: (208) 340-2023

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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