Individual
MCKENZIE SAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD/N
Contact information
Practice address
605 15TH AVE, VERO BEACH, FL 32962-1436
(772) 766-9656
Mailing address
605 15TH AVE, VERO BEACH, FL 32962-1436
(772) 766-9656
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7669
FL
Other
Enumeration date
05/08/2024
Last updated
06/06/2026
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