Makenna Lyn Goutermout, RD, LD
Makenna Lyn Goutermout, RD, LD is a Registered Dietitian in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2018.
- Licensed in
- ID
- In the registry since
- 2018
What do these letters mean?
Practice location Address checks out
190 E Bannock StBoise, ID 83712-6241
Phone: (208) 381-2222
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Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence D-909 (ID) |
|---|
Record details
| NPI number | 1164916508 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | RD , LD |
| Sole proprietor | No |
| NPI enumerated | June 19, 2018 |
| Last updated in NPPES | June 19, 2018 |
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