Individual
MRS. JESSE BUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3293
(617) 825-3400
(617) 825-7217
Mailing address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3293
(617) 825-3400
(617) 825-7217
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
4631-NU-NU
MA
133V00000X
Registered Dietitian
Primary
86078381
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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