Individual
SAMANTHA CAROL SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
101 RAINBOW DR, LIVINGSTON, TX 77399-9301
(229) 237-3991
Mailing address
101 RAINBOW DRIVE, PMB 300, LIVINGSTON, TX 77399
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT92596
TX
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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