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KATHY MILDREW MOORE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
R. D.

Contact information

Practice address
100 EMANCIPATION DR, NUTRITION AND FOOD SERVICE, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3468
Mailing address
100 EMANCIPATION DR, NUTRITION AND FOOD SERVICE, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3468

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
402442
VA

Other

Enumeration date
03/17/2006
Last updated
07/08/2007
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