Individual
MS. BONNIE LYNN BERUBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1425 BLALOCK RD, SUITE 107, HOUSTON, TX 77055-4475
(713) 785-6481
(713) 785-7200
Mailing address
1425 BLALOCK RD, SUITE 107, HOUSTON, TX 77055-4475
(713) 785-6481
(713) 785-7200
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT00673
TX
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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