Individual
SAMANTHA ROSE HARGREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
3500 VICKSBURG LN N # 113, PLYMOUTH, MN 55447-1334
(612) 326-4049
Mailing address
3500 VICKSBURG LN N # 113, PLYMOUTH, MN 55447-1334
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3776
MN
Other
Enumeration date
07/28/2019
Last updated
05/15/2025
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