Samantha Catherine Smith, RD | |
4000 Fairfax Dr Apt 1016, Arlington, VA 22203-1131 | |
(717) 668-7191 | |
Not Available |
Full Name | Samantha Catherine Smith |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 4000 Fairfax Dr Apt 1016, Arlington, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902569973 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 86173334 (Virginia) | Primary |
Provider Name | Juno Wellness |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265155337 PECOS PAC ID: 1355706367 Enrollment ID: O20230426002637 |
Mailing Address | Practice Location Address |
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Samantha Catherine Smith, RD 4000 Fairfax Dr Apt 1016, Arlington, VA 22203-1131 Ph: (717) 668-7191 | Samantha Catherine Smith, RD 4000 Fairfax Dr Apt 1016, Arlington, VA 22203-1131 Ph: (717) 668-7191 |
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Mrs. Joanna Pustilnik, MS RDN LDN CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2134 S Nelson St, Arlington, VA 22204 Phone: 804-787-4431 | |
Carolyn M. Arbuckle, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 900 N Stafford St Apt 1112, Arlington, VA 22203 Phone: 585-683-0734 | |
Miss Jordan Paige Spivak, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2100 S Quebec St, Arlington, VA 22204 Phone: 630-615-9144 | |
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