Individual
SAMANTHA B KOSTELNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RDN, LD
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
D-2206
MS
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
D-2206
MS
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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