Individual
BERNICE JANELLE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD/N
Contact information
Practice address
2020 E GEORGIA ST, BARTOW, FL 33830-6709
(863) 519-7542
Mailing address
1290 GOLFVIEW AVE, BARTOW, FL 33830-6703
(863) 519-7900
(863) 519-7696
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND3075
FL
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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