Search › Idaho › 133VN1201X
Tracy Bento, RD, CDCES, CSOWM
NPI 1134284045 · on the registry since 2006 · sole proprietor
Practice
- Address
- 803 S Short Ln
Eagle, ID 83616 - Phone
- (208) 954-0862
Registry record
- Primary taxonomy
- 133VN1201X
133VN1201X
- Also registered as
- 133V00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho