Joanna Bork
Joanna Bork is a Pediatric Nutrition Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
100 E Idaho St Ste 200Boise, ID 83712-6267
Phone: (208) 381-7081
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Nutrition Registered Dietitian (primary) | Taxonomy 133VN1004X · Licence D-288 (ID) |
|---|
Record details
| NPI number | 1740605740 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 27, 2014 |
| Last updated in NPPES | February 27, 2014 |
| Mailing address | 624 N Glen Aspen Way, Star, ID 83669-5755 |
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