| Ms Samantha Jean Smith, RD | |
|
Po Box 368, Kayenta, AZ 86033-0368 | |
| (928) 697-4000 | |
| (928) 697-4145 |
| Full Name | Ms Samantha Jean Smith |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | Po Box 368, Kayenta, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972604635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 00945082 (Arizona) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Samantha Jean Smith, RD Hwy 160 M.p. 394.3, Po Box 3247, Kayenta, AZ 86033-3247 Ph: (928) 697-4210 | Ms Samantha Jean Smith, RD Po Box 368, Kayenta, AZ 86033-0368 Ph: (928) 697-4000 |
Mr. Kwang Kim, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Kayenta Phs Health Clinic, Hwy 160 And 163, Kayenta, AZ 86033 Phone: 928-697-4000 Fax: 928-697-4145 | |
Natasha Dawn Bordeaux, Dietitian Medicare: Medicare Enrolled Practice Location: Hwy 160 Mp 394.3, Kayenta, AZ 86033 Phone: 928-697-4000 |