Sonamarivell Granados, RD, LD

NPI #1215420591 in Twin Falls, Idaho

Provider Information

NPI Number: 1215420591
Entity Type: Individual
Name: Sonamarivell Granados, RD, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: Jun 11, 2018
Last Updated: Jun 11, 2018

Practice Location

Address: 801 POLE LINE RD W
City: Twin Falls
State: Idaho
ZIP Code: 83301-5810
Phone: (208) 814-4120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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