Individual
MRS. SAMANTHA RAE HASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
PO BOX 980294, RICHMOND, VA 23298-0294
(804) 828-0970
Mailing address
PO BOX 980294, RICHMOND, VA 23298-0294
(804) 828-0970
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86070843
—
133V00000X
Registered Dietitian
DX4529
MD
Other
Enumeration date
04/05/2018
Last updated
08/14/2024
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