Individual
KARA COURTNEY BOLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
21966 DOLORES ST, CASTRO VALLEY, CA 94546-6900
(805) 754-6433
Mailing address
21966 DOLORES ST, CASTRO VALLEY, CA 94546-6900
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1090343
CA
Other
Enumeration date
01/08/2016
Last updated
03/07/2018
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