Individual
SAMANTHA PRENTISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
828 MULBERRY DR, LAWRENCE, KS 66049-4701
(203) 801-8030
Mailing address
3724 JEFFERSON ST, AUSTIN, TX 78731-6225
(512) 692-7045
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85130
TX
Other
Enumeration date
02/03/2020
Last updated
08/27/2024
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