Individual
SAMANTHA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
118 SE 9TH ST, PELLA, IA 50219-2200
(641) 628-1590
Mailing address
118 SE 9TH ST, PELLA, IA 50219-2200
(641) 628-1590
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
083783
IA
133V00000X
Registered Dietitian
2016027322
MO
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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