Provider Demographics
NPI:1992237911
Name:BESSO, ANNYCK (RD)
Entity type:Individual
Prefix:
First Name:ANNYCK
Middle Name:
Last Name:BESSO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:909 G ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2819
Mailing Address - Country:US
Mailing Address - Phone:202-738-4726
Mailing Address - Fax:180-023-8951
Practice Address - Street 1:909 G ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-2819
Practice Address - Country:US
Practice Address - Phone:202-738-4726
Practice Address - Fax:180-023-8951
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered