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Natalia Sumodjo, M.S., LAT, ATC, CES

NPI 1851886725 · on the registry since 2018 · sole proprietor

Practice

Address
5200 Nelson Rd Apt 516
Lake Charles, LA 70605
Phone
(415) 259-1403
Clinicians at this address
2

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-06-24

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 Louisiana