Individual
SAMANTHA DONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5100 W GENESEE ST, CAMILLUS, NY 13031-2354
(315) 460-0802
Mailing address
5100 W GENESEE ST, CAMILLUS, NY 13031-2354
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
02/03/2026
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