Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Michelle Vanfossan, RD

Individual provider Registered Dietitian · NPI 1063714517

Mary Michelle Vanfossan, RD is a Registered Dietitian in Jackson, California. Practices as a sole proprietor. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

200 Mission Blvd
Jackson, CA 95642-2564
Phone: (209) 257-7635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X

Record details

NPI number1063714517
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedDecember 3, 2010
Last updated in NPPESDecember 3, 2010

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