SearchMaryland133V00000X

Michele Phulsuksombati, MS, MED,RD

NPI 1386014819 · on the registry since 2015 · sole proprietor

Practice

Address
8200 Blue Heron Dr
2d
Frederick, MD 21701
Phone
(301) 788-5392

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-09-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland