Doctor Name: | MARY M BOSCO |
NPI Number: | 1871867879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 852745 |
Business Practice Address: | 3250 W Cherry Lane Meridian, ID - 83642 |
Business Phone Number: | 2083676127 |
Business Fax Number: | 2083677316 |
Mailing Address: | 3340 E Goldstone Way, MERIDIAN |
State: | ID |
Postal Code: | 836421026 |
Phone Number: | 2083676127 |
Fax Number: | 2083677316 |
NPI Enumeration Date: | 03/08/2012 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 852745 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |