Individual
VICTORIA BONGIORNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CPT
Contact information
Practice address
463 GRAND LANDINGS PKWY, PALM COAST, FL 32164-2346
(406) 880-5243
Mailing address
PO BOX 2474, FLAGLER BEACH, FL 32136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86357532
FL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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