Organization
PERSONALIZED NUTRITION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BONNIE MASTERSON MS,RD,CDE (PRESIDENT)
(239) 734-2600
Entity
Organization
Contact information
Practice address
661 GOODLETTE RD N, SUITE 104, NAPLES, FL 34102-5609
(239) 649-4565
Mailing address
590 STARBOARD DR, NAPLES, FL 34103-4144
(239) 734-2600
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
ND332
FL
133V00000X
Registered Dietitian
Primary
ND429
FL
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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