Individual
LILIA BOLGOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3528 E 2ND ST, APT 1, LONG BEACH, CA 90803
(909) 568-6382
Mailing address
3528 E 2ND ST APT 1, LONG BEACH, CA 90803-5240
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1021166
CA
Other
Enumeration date
08/19/2017
Last updated
07/21/2022
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