Individual
MRS. EMILY DIANE BOGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3567
Mailing address
1303 E HERNDON AVE, FRESNO, CA 93720-3309
(559) 450-3567
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
859072
CA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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