Moranda Lynn Boles, RD
NPI #1245754910 in Broomfield, Colorado
Provider Information
- NPI Number
- 1245754910
- Entity Type
- Individual
- Name
- Moranda Lynn Boles, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Aug 3, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 11820 DESTINATION DR
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80021-2518
- Phone
- (303) 460-6065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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