Individual
MS. SAMANTHA L MATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CSCS
Contact information
Practice address
7686 SUNSET CIR, WEST JORDAN, UT 84084-3789
(801) 414-0083
Mailing address
7686 SUNSET CIR, WEST JORDAN, UT 84084-3789
(801) 414-0083
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/24/2009
Last updated
07/24/2009
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