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Individual

MRS. BONNIE BALK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
4920 N HILLS DR, HOLLYWOOD, FL 33021-1620
(914) 815-1227
Mailing address
10155 COLLINS AVE APT 1101, BAL HARBOUR, FL 33154-1624

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/30/2018
Last updated
12/21/2021
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