Ms. LAURA JEAN MOULTON R.D.N.
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1558861831- Provider Type
- Individual Provider (NPI-1)
- Credentials
- R.D.N.
- Status
- Active
Contact & Location
- Address
- 285 E 4TH N, MOUNTAIN HOME, ID, 836472716
- Phone
- (208) 590-0858
- Fax
- (855) 740-2997
Specialties & Taxonomies
Dietitian, Registered
Primary License: ID #D-039