Individual
SUSAN SIZEMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
110 QUEENSWOOD TRL, VICTORIA, TX 77901-2541
(361) 788-6171
Mailing address
110 QUEENSWOOD TRL, VICTORIA, TX 77901-2541
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
806564
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192987901
—
TX
Enumeration date
01/09/2007
Last updated
07/24/2008
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