| Miss Bonnie Ann Burt, RD | |
|
1000 S Coast Dr Apt E104, Costa Mesa, CA 92626-7717 | |
| (562) 745-7920 | |
| Not Available |
| Full Name | Miss Bonnie Ann Burt |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1000 S Coast Dr Apt E104, Costa Mesa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316213036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 932458 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Bonnie Ann Burt, RD 1000 S Coast Dr Apt E104, Costa Mesa, CA 92626-7717 Ph: (562) 745-7920 | Miss Bonnie Ann Burt, RD 1000 S Coast Dr Apt E104, Costa Mesa, CA 92626-7717 Ph: (562) 745-7920 |
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