| Mary Michelle Vanfossan, RD | |
|
200 Mission Blvd, Jackson, CA 95642-2564 | |
| (209) 257-7635 | |
| Not Available |
| Full Name | Mary Michelle Vanfossan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 200 Mission Blvd, Jackson, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063714517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Michelle Vanfossan, RD 200 Mission Blvd, Jackson, CA 95642-2564 Ph: (209) 257-7635 | Mary Michelle Vanfossan, RD 200 Mission Blvd, Jackson, CA 95642-2564 Ph: (209) 257-7635 |
Geralyn Da Silva, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 12140 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2400 Fax: 209-257-2403 | |
Mrs. Morgan Dominique Knittel, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 815 Court St Ste 5, Jackson, CA 95642 Phone: 209-257-7515 Fax: 209-257-7513 | |
Maureen Patricia Mooney-michels, R.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Mission Blvd, Outpatient Diabetes Education Program, Jackson, CA 95642 Phone: 209-223-7448 Fax: 209-257-7670 | |
Mrs. Kelly Sea, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11310 Prospect Drive Ste 10 #306, Jackson, CA 95642 Phone: 209-418-7243 | |
Ms. Kim Marie Vagt, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Mission Blvd, Jackson, CA 95642 Phone: 209-223-7430 Fax: 209-257-7634 |