Individual
DIANE BUSSOLINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D. CDE
Contact information
Practice address
20 BATTERSON PARK RD, FARMINGTON, CT 06032-4502
(877) 676-7700
Mailing address
20 BATTERSON PARK RD, FARMINGTON, CT 06032-4502
(877) 676-7700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000532
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000532
LICENSE
CT
Enumeration date
02/17/2010
Last updated
06/01/2012
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