Fawn Boonstra, RD

NPI #1902359771 in Apache Junction, Arizona

Provider Information

NPI Number
1902359771
Entity Type
Individual
Name
Fawn Boonstra, RD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Jul 28, 2016
Last Updated
Jun 24, 2020

Practice Location

Address
99 S. GOLD DR. SUITE 5
Address 2
GOLDFIELD CARDIOVASCULAR INSTITUTE
State
Arizona
ZIP Code
85120
Phone
(480) 962-0101

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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