Individual
SAMANTHA JADE KRYSIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-2252
Mailing address
605 MEDINA DR, HIGHLAND VILLAGE, TX 75077-7214
(405) 269-2181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
04/06/2021
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