Individual
CHANIKA TERI MOSES SMTIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 BOWERS BLVD, 313C, HUNTSVILLE, TX 77845
(936) 294-2798
Mailing address
3505 MYTH LN, COLLEGE STATION, TX 77845-4524
(281) 451-6339
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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