Individual
CHRISTINA BUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 12TH ST, CLAY CITY, KY 40312-8979
(606) 663-9011
Mailing address
108 12TH ST, CLAY CITY, KY 40312-8979
(606) 663-9011
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
BDNDTN00210684
KY
Other
Enumeration date
09/16/2015
Last updated
09/06/2016
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