Individual
MRS. RACHEL PROVIDENCE BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CSO
Contact information
Practice address
4729 SE GLENRIDGE TRAIL, STUART, FL 34997
(973) 557-8135
Mailing address
4729 SE GLENRIDGE TRAIL, STUART, FL 34997
(973) 557-8135
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
09/01/2018
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