Individual
SAMANTHA BIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
805 N FRONT ST, HARRISBURG, PA 17102-3409
(082) 471-7703
Mailing address
805 N FRONT ST, HARRISBURG, PA 17102-3409
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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