Individual
MR. SEAN SODERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS,RD,LD
Contact information
Practice address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-7660
Mailing address
2817 REILLY ST, FORT BRAGG, NC 28310-7394
(910) 907-7660
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2015018923
MO
133V00000X
Registered Dietitian
Primary
L005004
NC
Other
Enumeration date
02/05/2016
Last updated
12/30/2022
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