NPI 1215420591

Sonamarivell Granados, RDLD

Practitioner Registered Dietitian Twin Falls, ID

Practice location

Address: 801 Pole Line Rd W, Twin Falls, ID 83301-5810
Phone: (208) 814-4120
Fax: (208) 814-4906

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D-1010 (ID)

Other Dietitian, Registered providers in Idaho →

Registry record

NPI: 1215420591
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2018
Record last updated: 11 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.