Individual
BLANKA BONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
Mailing address
1030 MINERS RD, SAINT JOSEPH, MI 49085-9625
(269) 408-1688
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86023221
MI
Other
Enumeration date
08/22/2016
Last updated
08/22/2016
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