Individual
LESLIE DEBUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
105 W STONE DR STE 3A, KINGSPORT, TN 37660-3365
(423) 392-6200
Mailing address
PO BOX 9, KINGSPORT, TN 37662-0009
(423) 857-2066
(423) 390-3339
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1441
TN
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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