Individual
AMANDA MOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD
Contact information
Practice address
870 YORK ST, SAN FRANCISCO, CA 94110-2843
(804) 337-0425
Mailing address
16126 WESTBROOK ST, LIVONIA, MI 48154-2050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1857
WV
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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