Individual
MONA DIANE BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CSO, LDN
Contact information
Practice address
301 S ELM ST STE 801, GREENSBORO, NC 27401-2680
(336) 291-3622
Mailing address
301 S ELM ST STE 801, GREENSBORO, NC 27401-2680
(336) 291-3622
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003817
NC
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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