MICHELE PHULSUKSOMBATI

FREDERICK, MD
NPI1386014819
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MD  DX3822)
Enumeration Date2015-09-26
Last Update Date2022-09-06
Business Address
MICHELE PHULSUKSOMBATI MS, MEd,RD
8200 BLUE HERON DR 2D
FREDERICK, MD 21701-9358
Phone number: 301-788-5392
Mailing Address
MICHELE PHULSUKSOMBATI MS, MEd,RD
8200 BLUE HERON DR 2D
FREDERICK, MD 21701-9358
Phone number: 301-788-5392
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