Individual
SAMANTHA GRACE SELSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
731 W RIVERSIDE ST, SPRINGFIELD, MO 65807-4658
(417) 612-4982
Mailing address
731 W RIVERSIDE ST, SPRINGFIELD, MO 65807-4658
(417) 612-4982
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2025030620
MO
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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