Individual
SAMANTHA ITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5148 WILLIS AVE APT 2228, DALLAS, TX 75206-6487
(512) 693-7045
Mailing address
5148 WILLIS AVE APT 2228, DALLAS, TX 75206-6487
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT91424
TX
Other
Enumeration date
02/18/2026
Last updated
02/18/2026
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