Individual
SAMANTHA STASIA THAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
4211 W MARIE CT, PASCO, WA 99301-2884
(509) 727-4172
Mailing address
4211 W MARIE CT, PASCO, WA 99301-2884
(509) 727-4172
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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