Individual
MISS BONNIE ANN BURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1000 S COAST DR APT E104, COSTA MESA, CA 92626-7717
(562) 745-7920
Mailing address
1000 S COAST DR APT E104, COSTA MESA, CA 92626-7717
(562) 745-7920
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
932458
CA
Other
Enumeration date
03/27/2012
Last updated
02/08/2014
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