Individual
MS. DIANE I BUSTAMANTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CDN LDN
Contact information
Practice address
11987 SOUTHERN BLVD, SUITE 1058, ROYAL PALM BEACH, FL 33411
(917) 418-5710
Mailing address
11987 SOUTHERN BLVD, SUITE 1058, ROYAL PALM BEACH, FL 33411
(917) 418-5710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
005542
NY
133V00000X
Registered Dietitian
Primary
855630
NY
Other
Enumeration date
01/18/2013
Last updated
10/09/2024
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