Mary G Boll, RD

NPI #1144303322 in Sheboygan, Wisconsin

Provider Information

NPI Number
1144303322
Entity Type
Individual
Name
Mary G Boll, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Oct 23, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
2414 KOHLER MEMORIAL DR
ZIP Code
53081-3129
Phone
(920) 457-4461

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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