Individual
JESSICA BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, MPH
Contact information
Practice address
2708 BRAELINN PKWY N, HELENA, AL 35080-3748
(740) 501-1443
Mailing address
2708 BRAELINN PKWY N, HELENA, AL 35080-3748
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2751
AL
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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