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Jean R Halford
Metabolic Nutrition Registered Dietitian in Idaho Falls, Idaho
NPI 1669405932

Jean R Halford is a Metabolic Nutrition Registered Dietitian based in Idaho Falls, ID and is specialized in Nutrition, Metabolic. Jean R Halford practices in Idaho Falls, ID. The NPI Number for Jean R Halford is 1669405932 and holds a License No. 369684 (Idaho).

The current practice location address for Jean R Halford is 2220 E 25Th St, Idaho Falls, ID and can be reached out via phone at 208-523-1122 and via fax at 208-523-2582. You can also correspond with Jean R Halford through the mailing address at 2220 E 25TH ST, IDAHO FALLS, ID - 83404-7542 (mailing address contact number: 208-523-1122).

Location: 2220 E 25Th St, Idaho Falls, ID, 83404-7542
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Provider Profile Details
NPI Number
1669405932
Provider Name
Jean R Halford
Credential
Provider Entity Type
Individual
Gender
Female
Address
2220 E 25Th St, Idaho Falls, ID, 83404-7542
Phone Number
208-523-1122
Fax Number
208-523-2582
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00103300 01 ID RAILROAD ME
institution
Provider Business Practice Location Address Details
Address
2220 E 25Th St
City
State
Zip
83404-7542
Phone Number
208-523-1122
Fax Number
208-523-2582
person
Provider Business Mailing Address Details
Address
2220 E 25Th St
City
State
Zip
83404-7542
Phone Number
208-523-1122
Fax Number
208-523-2582
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Metabolic
Taxonomy
License No.
369684 (Illinois)
Definition
Definition to come...
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