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Kristyn Lenore Bawol, RD

Dietitian, Registered in Albuquerque, NM. Individual provider (NPI-1).

NPI number1962040683
StatusActive
Last updated in NPPESDec 12, 2019

Details

NPI
1962040683
Entity type
Individual (NPI-1)
Name
Miss Kristyn Lenore Bawol
Credential
RD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 12, 2019
Certification date
Dec 12, 2019
Last updated
Dec 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered–NMYes

Practice location

1501 San Pedro Dr Se Rm 1047
Albuquerque, NM 87108-5180

Phone 505-265-1711

Mailing address

4805 Marquette Ave Ne Apt 303
Albuquerque, NM 87108-1489

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