Individual
MISS KATHLEEN BUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
65 WIGGINS AVE, BEDFORD, MA 01730-2338
(781) 276-1773
Mailing address
65 WIGGINS AVE, BEDFORD, MA 01730-2338
(781) 276-1773
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4253
MA
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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