Virginia Boles, MS, RDN, LD, NBC-HWC
NPI #1124612247 in Pearl, Mississippi
Provider Information
- NPI Number
- 1124612247
- Entity Type
- Individual
- Name
- Virginia Boles, MS, RDN, LD, NBC-HWC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- MS, RDN, LD, NBC-HWC
- Enumeration Date
- Mar 1, 2021
- Last Updated
- Mar 1, 2021
Practice Location
- Address
- 3628 LONGSTREET DR
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-3814
- Phone
- (601) 481-5727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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