Individual
KATELYN R BUSACCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
9714 HEALTHWAY DR, BERLIN, MD 21811-1154
(410) 641-3340
(410) 641-3341
Mailing address
10026 OLD OCEAN CITY BLVD STE 1, BERLIN, MD 21811-1288
(410) 629-6007
(410) 641-9515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86029792
MD
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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