Blasine Grace Besore | Washington, DC • PECOS Search

Blasine Grace Besore

Dietitian, Registered

Dietary & Nutritional Service Providers

111 Michigan Ave NW, Washington, DC 20010-2916

(202) 476-5000 (847) 302-9075

PECOS Enrollment

Based on the most recent information from CMS, provider Blasine Grace Besore does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1790437663
Provider Type
Individual
Full Name
Besore, Blasine Grace
Credential
RDN

Gender
Female
Sole Proprietor
No
Enumeration Date
1/21/2022
Last Updated
1/21/2022

Contact Information

Practice Location

111 Michigan Ave NW, Washington, DC 20010-2916

Unlisted Fax

Mailing Location

70 I St SE Apt 608, Washington, DC 20003-4820

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 133V00000X Primary	Description Dietitian, Registered Dietary & Nutritional Service Providers	License Unlisted Issuer