Individual
SAMANTHA ELAINE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD, CDCES
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 389-7464
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 389-7464
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1059416
WI
Other
Enumeration date
10/19/2011
Last updated
11/08/2022
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