Serena Arave, RD, CNSC, LD
Dietitian, Registered, Nutrition, Pediatric in Boise, ID. Individual provider (NPI-1).
NPI number1225423262
StatusActive
Last updated in NPPESApr 6, 2015
Details
- NPI
- 1225423262
- Entity type
- Individual (NPI-1)
- Name
- Serena Arave
- Credential
- RD, CNSC, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2015
- Last updated
- Apr 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | D-414 | ID | Yes |
| 133VN1006X | Dietitian, Registered, Nutrition, Metabolic | D-414 | ID |
Practice location
267 E Old Saybrook DrBoise, ID 83706-4920
Phone 208-342-7198
Mailing address
267 E Old Saybrook DrBoise, ID 83706-4920
Phone 208-342-7198
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