Organization
FOOD MATTERS 365, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONA DIANE BOSTICK RDN, CSO , LDN (OWNER OPERATOR)
(336) 291-3622
Entity
Organization
Contact information
Practice address
301 S ELM ST, SUITE 801, GREENSBORO, NC 27401-2696
(336) 291-3622
(336) 814-2116
Mailing address
301 S ELM ST, SUITE 801, GREENSBORO, NC 27401-2696
(336) 291-3622
(336) 814-2116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003817
NC
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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