Samantha Alix Mitro

NPI #1528728318 in Meridian, Idaho

Provider Information

NPI Number
1528728318
Entity Type
Individual
Name
Samantha Alix Mitro
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Enumeration Date
Dec 21, 2021
Last Updated
Nov 29, 2023

Practice Location

Address
520 S EAGLE RD STE 1223
State
Idaho
ZIP Code
83642-6355
Phone
(208) 706-5260

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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