Individual
SZANDRA BARBARA BOLESKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
201 CEDAR ST SE, ALBUQUERQUE, NM 87106-4917
(505) 563-6530
Mailing address
11412 MALAGUENA LN NE, ALBUQUERQUE, NM 87111-6898
(757) 775-1517
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
NDP-2023-0005
NM
Other
Enumeration date
07/26/2023
Last updated
02/02/2024
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