Individual provider · Type 1 NPI

Mariam Boulas, MS RD

Registered Dietitian · Lancaster, CA

NPI number 1033493606 Active

Practice location

43112 15th St W # 93534
Lancaster, CA 93534-6219

Mailing address

3316 Montellano Ave
Palmdale, CA 93551-4805

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X999205 (CA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1033493606

Mariam Boulas, MS RD's National Provider Identifier is 1033493606, issued on Sep 30, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lancaster, CA. The record was last updated on Sep 30, 2011.