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Individual

ELLA BONFIGLIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD,LD,CDE

Contact information

Practice address
1441 S MIDLOTHIAN PKWY STE 100, MIDLOTHIAN, TX 76065
(469) 800-9860
(469) 800-9870
Mailing address
1441 S MIDLOTHIAN PKWY STE 100, MIDLOTHIAN, TX 76065-5592
(469) 800-9860
(469) 800-9870

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
83039
TX
133V00000X
Registered Dietitian
Primary
DT83039
TX

Other

Enumeration date
12/09/2013
Last updated
11/07/2019
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