Individual
SAMANTHA LEE RANDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NMD
Contact information
Practice address
10153 E HAMPTON AVE STE 104, MESA, AZ 85209-3326
(480) 535-5688
Mailing address
10153 E HAMPTON AVE STE 104, MESA, AZ 85209-3326
(480) 535-5688
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
18-1733
AZ
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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