Individual
SAMANTHA GAYLORD RONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBA, RD
Contact information
Practice address
8513 OAKVIEW DR, MANASSAS, VA 20110-2195
(804) 514-5222
Mailing address
8513 OAKVIEW DR, MANASSAS, VA 20110-2195
(804) 514-5222
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86021221
VA
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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