SAMANTHA ROBYN LEGAULT

AIRMONT, NY
NPI1952720724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy136A00000X Dietetic Technician, Registered
(Licence: NJ  1019268)
Enumeration Date2014-04-09
Last Update Date2014-04-09
Business Address
-- SAMANTHA ROBYN LEGAULT DTR
222 ROUTE 59 SUITE 304
AIRMONT, NY 10901-5204
Phone number: 845-547-2161
Mailing Address
-- SAMANTHA ROBYN LEGAULT DTR
7316 COVENTRY CT
RIVERDALE, NJ 07457-1637
Phone number: 551-427-5109