Individual
ANNA BESSONOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13905 CARMEL VALLEY RD APT 252, SAN DIEGO, CA 92130-5668
(212) 470-2735
Mailing address
515 E 7TH ST, APT 4R, BROOKLYN, NY 11218-4852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007803
NY
Other
Enumeration date
02/21/2014
Last updated
02/09/2022
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