Individual
SAMANTHA PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSO
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338-3007
(623) 256-9920
Mailing address
12242 S 185TH AVE, GOODYEAR, AZ 85338-7959
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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