MRS. Hollan Beth Bonjukian, CPT, CNC, BA

NPI #1376809079 in Averill Park, New York

Provider Information

NPI Number: 1376809079
Entity Type: Individual
Name: MRS. Hollan Beth Bonjukian, CPT, CNC, BA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: CPT, CNC, BA
Enumeration Date: Apr 6, 2012
Last Updated: Apr 6, 2012

Practice Location

Address: 36 WHITNEY DR
City: Averill Park
State: New York
ZIP Code: 12018-3754
Phone: (518) 496-0337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X
Specialist	174400000X	Primary
Health Educator	174H00000X

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