Individual
SARA BONCZEWSKI WINTERBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
1617 N MAIN ST STE 100, FUQUAY VARINA, NC 27526-9021
(919) 577-9952
(919) 577-9946
Mailing address
7125 BEAVER TRL, APEX, NC 27502-9549
(714) 380-8006
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005537
NC
Other
Enumeration date
09/24/2019
Last updated
08/21/2021
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