Individual
MS. MARIA RITA BALLESTEROS BONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, RD, CDCES, MS
Contact information
Practice address
3905 WELLNESS WAY, BOZEMAN, MT 59718-1999
(406) 898-1957
(406) 898-1959
Mailing address
3905 WELLNESS WAY, BOZEMAN, MT 59718-1999
(406) 898-1957
(406) 898-1959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
358712-4901
UT
163WD0400X
Diabetes Educator Registered Nurse
Primary
358712-3102
UT
Other
Enumeration date
08/21/2006
Last updated
09/28/2022
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