SAMANTHA STAVOLA

PHILADELPHIA, PA
NPI1346641818
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: PA  DN004879)
Enumeration Date2014-09-15
Last Update Date2014-09-15
Business Address
-- SAMANTHA STAVOLA
1512 SOUTH ST
PHILADELPHIA, PA 19146-1636
Phone number: 267-239-5637
Mailing Address
-- SAMANTHA STAVOLA
10905 KIRBY DR
PHILADELPHIA, PA 19154-4205
Phone number: