Individual
SAMANTHA MOSBRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD
Contact information
Practice address
16150 PILOT KNOB RD, LAKEVILLE, MN 55044-4105
(952) 423-9344
Mailing address
410 N 2ND ST APT 322, MINNEAPOLIS, MN 55401-5338
(612) 708-2250
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3918
MN
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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