Camile Michaelson, RD, LD

NPI #1629380654 in Blackfoot, Idaho

Provider Information

NPI Number
1629380654
Entity Type
Individual
Name
Camile Michaelson, RD, LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD, LD
Enumeration Date
Jul 7, 2010
Last Updated
Jul 7, 2010

Practice Location

Address
98 POPLAR ST
State
Idaho
ZIP Code
83221-1758
Phone
(208) 785-4100

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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