Individual
MARY ELIZABETH DEBUSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, R.D.
Contact information
Practice address
1000 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1598
(510) 618-2068
Mailing address
1000 SAN LEANDRO BLVD, SAN LEANDRO, CA 94577-1598
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
808769
—
Other
Enumeration date
10/04/2006
Last updated
07/29/2010
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