MEDICARE: BONNIE C GUERRIERO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian

General Provider Information

NPI Number	:	1932707759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BONNIE C GUERRIERO

Provider Business Mailing Address
First Line	:	3217 CLAIBORNE CIR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-2007
Country	:	US
Telephone Number	:	318-376-4252
Fax Number	:

Provider Business Practice Location Address
First Line	:	3217 CLAIBORNE CIR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-2007
Country	:	US
Telephone Number	:	318-376-4252
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2020
Last Update Date	:	10/14/2020

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Directions to “ BONNIE C GUERRIERO ” Practice Location

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