| Teton Dietetics Llc | |
|
680 E 5500 S, Victor, ID 83455-4613 | |
| (208) 270-4306 | |
| Not Available |
| Full Name | Teton Dietetics Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 680 E 5500 S, Victor, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851173561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Teton Dietetics Llc 680 E 5500 S, Victor, ID 83455-4613 Ph: Not Available | Teton Dietetics Llc 680 E 5500 S, Victor, ID 83455-4613 Ph: (208) 270-4306 |
Victoria Cameron, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8025 S Baseline Rd, Victor, ID 83455 Phone: 617-306-4358 |
Alexy Vada Nelson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 680 E 5500 S, Victor, ID 83455 Phone: 208-270-4306 |