Individual
SAMANTHA JEROME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, CDCES, LRD
Contact information
Practice address
2607 E SILVERWOOD DR, PHOENIX, AZ 85048-9288
(480) 264-0119
Mailing address
3961 E CHANDLER BLVD STE 111, PHOENIX, AZ 85048-0303
(480) 264-0119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
03/21/2023
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