Individual
AMANDA KAY BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
1136 W 17TH ST STE B, BLOOMINGTON, IN 47404-3000
(765) 541-2165
Mailing address
7390 S STRAIN RIDGE ROAD, PO BOX #140, SMITHVILLE, IN 47458-9998
(765) 541-2165
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86026809
IN
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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