Individual
SAMANTHA MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
326 S BROADVIEW ST STE B, CAPE GIRARDEAU, MO 63703-5703
(573) 429-9196
Mailing address
473 MATT LN, JACKSON, MO 63755-8531
(573) 429-9196
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2016033536
MO
Other
Enumeration date
02/23/2020
Last updated
02/23/2020
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