Individual
JULIE ANNE BOUTTAMY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1581 DODD DR, COLUMBUS, OH 43210-1257
(614) 292-5624
(614) 292-1550
Mailing address
700 ACKERMAN RD STE 385, COLUMBUS, OH 43202-1524
(614) 947-3700
(614) 947-3771
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4369
OH
Other
Enumeration date
07/16/2008
Last updated
07/16/2008
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