Individual
CHRISTINA BOLOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-1027
Mailing address
4544 COLUMBUS ST, APT 936, VIRGINIA BEACH, VA 23462-6749
(314) 276-2039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2006035488
MO
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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