Individual
SAMANTHA LILLIAN KRUTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3839 INDIAN RIPPLE RD, BEAVERCREEK, OH 45440-3468
(937) 431-0455
Mailing address
3379 MORRISON AVE APT 4, CINCINNATI, OH 45220-1441
(513) 833-3159
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.09199
OH
Other
Enumeration date
11/27/2020
Last updated
11/27/2020
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