NPI 1104881804

Bonnie Louise Harbourt, MARDCDE

Practitioner Registered Dietitian Salem, VA

Practice location

Address: 1970 Roanoke Blvd, Salem, VA 24153-6404
Phone: (540) 982-2463
Fax: (540) 224-1958

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 457446 (VA)

Other Dietitian, Registered providers in Virginia →

Registry record

NPI: 1104881804
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2006
Record last updated: 22 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.