Individual
MRS. MISTI MICHELLE SANCHEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CSP
Contact information
Practice address
2830 ROUND TOWER LN, PORT NECHES, TX 77651-5412
(409) 719-8820
Mailing address
2830 ROUND TOWER LN, PORT NECHES, TX 77651-5412
(409) 719-8820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT83071
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT83071
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1045255
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
12/31/2013
Last updated
12/31/2013
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