Individual
SAMANTHA MARIE CABALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
145 MICHIGAN ST NE STE 5120, GRAND RAPIDS, MI 49503-2567
(616) 486-6314
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86051810
MI
Other
Enumeration date
10/25/2022
Last updated
08/18/2023
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