Susan Marie Ashford Tucker, M.S., R.D. Valid NPI
Individual provider · Registered Dietitian · Sandpoint, ID
- NPI
- 1740518604
- Type
- Individual (Type 1)
- Primary specialty
- Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133V00000X
- License number
- 517257 (MT)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2009-12-03
- Last updated
- 2009-12-03
Practice location
1219 Elm St
Sandpoint, ID 83864
(406) 570-8019