Individual
MRS. BONNIE LOUISE HARBOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,RD,CDE
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1958
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1958
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
457446
VA
Other
Enumeration date
04/18/2006
Last updated
01/22/2014
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