MS. TRACY GREEN, R.D.

Dietitian, Registered

Active Individual
NPI: 1710391669

Practice Address

705 EBONY ST
Pocatello, ID 83201

Phone: (208) 221-9085

Specialties

Specialty Code Primary License
Dietitian, Registered 133V00000X Yes D-748 (ID)

Frequently Asked Questions

NPI 1710391669 is the National Provider Identifier for MS. TRACY GREEN, R.D., a Dietitian, Registered provider located in Pocatello, ID. This NPI was enumerated on June 19, 2014.
MS. TRACY GREEN, R.D. practices at 705 EBONY ST, Pocatello, ID 83201.

Quick Facts

NPI
1710391669
Type
Individual
Enumerated
Jun 19, 2014
Last Updated
Jun 19, 2014

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