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Organization

FOOD FRAME OF MIND

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELE PHULSUKSOMBATI RD (OWNER)
(240) 285-9117
Entity
Organization

Contact information

Practice address
1544 TRAFALGAR LN, FREDERICK, MD 21701-2528
(240) 285-9117
Mailing address
1544 TRAFALGAR LN, FREDERICK, MD 21701-2528
(240) 285-9117

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/09/2021
Last updated
12/09/2021
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