Individual
MRS. SAMANTHA RENEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
104 STARLAND WAY, MILFORD, DE 19963-5379
(325) 669-5646
Mailing address
3724 JEFFERSON ST STE 104, AUSTIN, TX 78731-6204
(512) 693-7045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN-0010995
DE
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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