Niki Mix, RDN, LD
NPI #1518415058 in Soda Springs, Idaho
Provider Information
- NPI Number
- 1518415058
- Entity Type
- Individual
- Name
- Niki Mix, RDN, LD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RDN, LD
- Enumeration Date
- Sep 13, 2016
- Last Updated
- Sep 13, 2016
Practice Location
- Address
- 251 S 1ST E
- City
- Soda Springs
- State
- Idaho
- ZIP Code
- 83276-1601
- Phone
- (208) 670-3071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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