Individual
SAMANTHA ELISE PREVITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
174 PINEWOODS ST, PONTE VEDRA, FL 32081-0118
(724) 816-5571
Mailing address
174 PINEWOODS ST FL 32081, PONTE VEDRA, FL 32081-0118
(724) 816-5571
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7815
FL
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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