Individual
SAMANTHA MARIE PONITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4986 N ADAMS RD, ROCHESTER, MI 48306-5017
(248) 475-4701
Mailing address
3055 HARBOR CT, WATERFORD, MI 48328-2593
(616) 690-1018
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/01/2009
Last updated
10/28/2010
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