Provider Demographics
NPI:1578087227
Name:SESSUMS, KATJA J (CNA)
Entity Type:Individual
Prefix:MRS
First Name:KATJA
Middle Name:J
Last Name:SESSUMS
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 BRIARWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77418-3407
Mailing Address - Country:US
Mailing Address - Phone:1979-777-8270
Mailing Address - Fax:
Practice Address - Street 1:225 BRIARWOOD DR
Practice Address - Street 2:
Practice Address - City:BELLVILLE
Practice Address - State:TX
Practice Address - Zip Code:77418
Practice Address - Country:US
Practice Address - Phone:1979-777-8270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle