Individual provider · NPI-1
Trina I Boland, Dietitian
Nutritionist · Houston, TX
NPI number1750492229
StatusActive
Last updated in NPPESOct 26, 2010
Details
- NPI
- 1750492229
- Entity type
- Individual (NPI-1)
- Name
- Miss Trina I Boland
- Credential
- Dietitian
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2006
- Last updated
- Oct 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133N00000X | Nutritionist | DT05574 | TX | Yes |
Practice location
300 W Little York RdHouston, TX 77076-1303
Phone 713-696-3131 · Fax 713-696-2133
Mailing address
1302 N Shepherd DrHouston, TX 77008-3752
Phone 713-696-3131 · Fax 713-696-2133
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