Individual
SAMANTHA K WILFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1424 BROADWAY, EVERETT, WA 98201-1720
(425) 918-0505
Mailing address
23385 39TH AVE W, BRIER, WA 98036-8273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61023037
WA
Other
Enumeration date
03/30/2021
Last updated
10/07/2021
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