Individual
BONNIE S PACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LDN
Contact information
Practice address
6838 CARAVAN CT, COLUMBIA, MD 21044-4046
(410) 808-8082
Mailing address
6838 CARAVAN CT, COLUMBIA, MD 21044-4046
(410) 808-8082
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4173
MD
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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