Individual
MICHAELA J SOSSAMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
3440 FANNIN STREET, BEAUMONT, TX 77701-3842
(409) 833-6900
(409) 833-6908
Mailing address
3440 FANNIN STREET, BEAUMONT, TX 77701
(409) 833-6900
(409) 833-6908
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86294
TX
Other
Enumeration date
05/20/2020
Last updated
06/10/2020
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