Individual
KRISTINE CARLSON BONHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
875 RIO EAST CT, CHARLOTTESVILLE, VA 22901-8004
(434) 242-2935
Mailing address
2200 LANFORD HILLS DR, CHARLOTTESVILLE, VA 22911-9100
(434) 242-2935
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
647296
NE
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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