-- SHAWNA DURBIN --
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1407277940- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 98 POPLAR ST, BLACKFOOT, ID, 832211758
- Phone
- (208) 785-3722
Specialties & Taxonomies
Dietitian, Registered
Primary License: ID #D-472