Individual
SAMANTHA ANN REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8401 TURKEY THICKET DR, GAITHERSBURG, MD 20879-1626
(240) 620-1957
Mailing address
8401 TURKEY THICKET DR, GAITHERSBURG, MD 20879-1626
(240) 620-1957
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86035551
VA
Other
Enumeration date
07/14/2019
Last updated
08/26/2019
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