Individual
MS. SAMANTHA JOY MOLLICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
600 N WOLFE ST, HALSTED 153, BALTIMORE, MD 21287-1900
(410) 955-6716
Mailing address
351 W CAMDEN ST, BALTIMORE, MD 21201-7912
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3000
MD
Other
Enumeration date
10/07/2009
Last updated
01/07/2013
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