Individual
MR. JOHN D BOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RD, NSCA-CPT
Contact information
Practice address
18 ORLEANS ST, LEWISTON, ME 04240-4334
(207) 689-8464
Mailing address
18 ORLEANS ST, LEWISTON, ME 04240-4334
(207) 689-8464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 5933
FL
Other
Enumeration date
08/01/2011
Last updated
08/01/2011
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