Martha De La Soujeole, RD, LD

NPI #1770772550 in Fairview, Texas

Provider Information

NPI Number
1770772550
Entity Type
Individual
Name
Martha De La Soujeole, RD, LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD, LD
Enumeration Date
Oct 17, 2007
Last Updated
Mar 11, 2008

Practice Location

Address
431 EAST STACY ROAD
Address 2
SUITE 107
State
Texas
ZIP Code
75069-9496
Phone
(469) 285-0636

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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