Individual
ELENA MARIE BONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
20500 BELSHAW AVE # EXCA1377, CARSON, CA 90746-3506
(855) 442-5885
Mailing address
20500 BELSHAW AVE # EXCA1377, CARSON, CA 90746-3506
(554) 425-8858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
13041
FL
133V00000X
Registered Dietitian
Primary
2370
SC
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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