Individual
SAMANTHA SAMUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 WILD FLOWER CT, WAYLAND, MI 49348-1480
(616) 299-8177
Mailing address
803 WILD FLOWER CT, WAYLAND, MI 49348-1480
(616) 401-9020
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
MI
133V00000X
Registered Dietitian
Primary
—
TX
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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