Individual
MS. SAMANTHA JEAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
PO BOX 368, KAYENTA, AZ 86033-0368
(928) 697-4000
(928) 697-4145
Mailing address
HWY 160 M.P. 394.3, PO BOX 3247, KAYENTA, AZ 86033-3247
(928) 697-4210
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00945082
AZ
Other
Enumeration date
09/26/2006
Last updated
06/20/2017
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