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IDAHO NUTRITION AND WELLNESS CLINIC

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Company Details

Name: IDAHO NUTRITION AND WELLNESS CLINIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 19 Jan 2018 (8 years ago)
Entity Number: 602133
Place of Formation: IDAHO
File Number: 0000602133
ZIP code: 83716
County: Elmore County
Mailing Address: 4934 E ARROW JCT DR BOISE, ID 83716

National Provider Identifier

NPI Number:
1790287563
Certification Date:
2019-12-16

Authorized Person:

Name:
MRS. KELSEY L BERNIER
Role:
OWNER, REGISTERED DIETITIAN
Phone:

Taxonomy:

Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000602133 2018-01-19

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State