Individual
KIRA BURSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
532 BALTIMORE BLVD STE 101, WESTMINSTER, MD 21157-6118
(667) 367-2778
Mailing address
17608 COATBRIDGE PL, OLNEY, MD 20832-2318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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