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Individual

JAMIE LEE BURGESS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-5603
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
4940-NU-NU
MA
133V00000X
Registered Dietitian
Primary
LDN01147
RI

Other

Enumeration date
12/01/2020
Last updated
07/30/2024
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