Individual
SAMANTHA LEIGH WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCN, RDN
Contact information
Practice address
713 E OAK ST, SUNDANCE, WY 82729-5172
(307) 283-3501
(307) 283-3506
Mailing address
PO BOX 1134, SUNDANCE, WY 82729-1134
(720) 648-2211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
431
WY
133V00000X
Registered Dietitian
Primary
86172305
CO
Other
Enumeration date
07/21/2022
Last updated
12/09/2024
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