SAMANTHA G SPAIN

KERNERSVILLE, NC
NPI1629429089
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NC  L004914)
Enumeration Date2016-06-28
Last Update Date2020-10-26
Business Address
SAMANTHA G SPAIN RD
1710 KERNERSVILLE MEDICAL PKWY STE 101
KERNERSVILLE, NC 27284-7156
Phone number: 336-564-4950
Mailing Address
SAMANTHA G SPAIN RD
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 336-564-4950
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