NPI 1154876977 · live from the CMS NPI Registry
Blanka Bono
Dietitian, Registered in Saint Joseph, MI. National Provider Identifier 1154876977, active.
NPI record
| NPI | 1154876977 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1030 Miners Rd, Saint Joseph, MI 49085 |
| Practice phone | 269-408-1688 |
| Enumerated | August 22, 2016 |
| Last updated | August 22, 2016 |
| Sole proprietor | No |
| Other names | Blanka Milik |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86023221 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.