MR. Tylor John Sousa, RD

NPI #1912644857 in Festus, Missouri

Provider Information

NPI Number
1912644857
Entity Type
Individual
Name
MR. Tylor John Sousa, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
May 12, 2022
Last Updated
May 12, 2022

Practice Location

Address
1400 US HIGHWAY 61
City
Festus
ZIP Code
63028-4100
Phone
(636) 933-1680

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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