SAMANTHA A RIDER

LAKE CHARLES, LA
NPI1053374595
Former NameSAMANTHA A TUPPER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  1378)
Enumeration Date2006-04-07
Last Update Date2017-04-13
Business Address
-- SAMANTHA A RIDER RD
1727 IMPERIAL BLVD BLDG 2
LAKE CHARLES, LA 70605-5362
Phone number: 337-310-3670
Mailing Address
-- SAMANTHA A RIDER RD
501 DR MICHAEL DEBAKEY DR
LAKE CHARLES, LA 70601-5724
Phone number: 337-312-8258
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