Search › Idaho › 133V00000X
Tracy Green, R.D
NPI 1710391669 · on the registry since 2014 · sole proprietor
Practice
- Address
- 705 Ebony St
Pocatello, ID 83201 - Phone
- (208) 221-9085
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-19
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