Individual
EVANGELINE YVONNE SAMPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2176 W MAIN ST, SALEM, WV 26426-7519
(304) 629-7523
Mailing address
2176 W MAIN ST, SALEM, WV 26426-7519
(304) 629-7523
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
501
WV
Other
Enumeration date
12/06/2025
Last updated
12/06/2025
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