Individual
SAMANTHA N MARASEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1098 S MAYO TRL, SUITE 101, PIKEVILLE, KY 41501-1546
(606) 218-1000
(606) 433-1867
Mailing address
PO BOX 2917, PIKEVILLE, KY 41502-2917
(606) 218-1000
(606) 433-1867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
BDNDTN00221252
KY
133V00000X
Registered Dietitian
DT83315
TX
Other
Enumeration date
11/11/2014
Last updated
07/29/2015
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