Individual
MARTHA DE LA SOUJEOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
431 EAST STACY ROAD, SUITE 107, FAIRVIEW, TX 75069-9496
(469) 285-0636
(469) 952-3687
Mailing address
4100 W ELDORADO PKWY, SUITE 100, BOX 231, MCKINNEY, TX 75070-4422
(469) 285-0636
(469) 952-3687
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT80586
TX
Other
Enumeration date
10/17/2007
Last updated
03/11/2008
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