Individual
NICOLE L BOYSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1212 WEBER ROAD, FARMINGTON, MO 63640
(573) 756-4581
(573) 756-5834
Mailing address
1212 WEBER ROAD, FARMINGTON, MO 63640
(573) 756-4581
(573) 756-5834
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2006008944
MO
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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