Individual
MS. SAMANTHA WHOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
1512 E 12TH AVE UNIT 403, TAMPA, FL 33605-3578
(603) 475-8531
Mailing address
1512 E 12TH AVE UNIT 403, TAMPA, FL 33605-3578
(603) 475-8531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND9146
FL
Other
Enumeration date
03/28/2021
Last updated
03/28/2021
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