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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY MICHELLE VANFOSSAN, RD

Active Sole Proprietor

MARY MICHELLE VANFOSSAN, RD is a Registered Dietitian healthcare provider located in JACKSON, California. NPI 1063714517 is currently active in the NPPES registry. Verify at CMS.

Registered Dietitian · JACKSON, CA

Registration Details

NPI Number
1063714517
Provider Type
Individual
Gender
Female
NPI Issued
Dec 3, 2010 (15.741221755388 yrs)
Last Updated
Dec 3, 2010
Sole Proprietor
Yes

Practice Information

Address
200 MISSION BLVD
JACKSON, CA, 956422564
Browse CA providers · Browse ZIP 95642
Phone
2092577635
Primary Specialty
Registered Dietitian
133V00000X

Other Registered Dietitian Providers in JACKSON, CA

Name Credential NPI
MAUREEN PATRICIA MOONEY-MICHELS R.D., C.D.E. 1497058473
MS. KIM MARIE VAGT MS, RD, CDE 1720384589
MRS. MORGAN DOMINIQUE KNITTEL RD 1467705889
MRS. KELLY SEA RD 1669717088
GERALYN DA SILVA 1306245774
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.