Individual
MS. KRISTINA DANIELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4100 W 3RD ST, DAYTON, OH 45428-9000
(934) 268-6511
(937) 262-5967
Mailing address
110 W SHERRY DR, TROTWOOD, OH 45426-3524
(937) 854-1499
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4599
OH
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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