Individual
BONNIE DEFIORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15 CHALLENGER DR, LEWISTON, ME 04240-1041
(207) 623-8411
Mailing address
5 LOMBARD ST, GORHAM, ME 04038-1400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
59.001891
CT
133V00000X
Registered Dietitian
Primary
DI1638
ME
Other
Enumeration date
12/02/2020
Last updated
09/19/2024
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