Individual
SAMANTHA SURPRENANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2611 FOUNDRY WAY APT 302, ALEXANDRIA, VA 22314-5885
(252) 202-1678
Mailing address
2611 FOUNDRY WAY APT 302, ALEXANDRIA, VA 22314-5885
(252) 202-1678
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86377736
VA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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