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Individual

MIA SAMANTHA FISHKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, RDN, LDN

Contact information

Practice address
1635 MINERAL SPRING AVE STE 205, NORTH PROVIDENCE, RI 02904-4025
(401) 305-6602
(401) 305-6617
Mailing address
48 HOMEFIELD AVE, PROVIDENCE, RI 02908-1810

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/08/2025
Last updated
03/06/2026
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