Individual
MRS. ROSLYN RUTH BOLZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.N.
Contact information
Practice address
1000 HEALTH CENTER ROAD, KYLE, SD 57752-0540
(605) 455-8823
(605) 455-1584
Mailing address
PO BOX 540, 1000 HEALTH CENTER ROAD, KYLE, SD 57752-0540
(605) 455-8239
(605) 455-1584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0150
SD
Other
Enumeration date
08/16/2006
Last updated
04/19/2010
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