Most Relevant Information
Provider Data
| NPI Number: | 1003390105 |
| Provider Name: | SAMANTHA LEE RANDAHL NMD |
| Entity Type: | Individual |
| Taxonomy Code: | 175F00000X |
| Specialty: | Naturopath |
| License Number: | 18-1733 |
Most Important Dates
| Enumeration Date: | 09/24/2018 |
| Last Updated: | 09/24/2018 |
Provider Practice Location
10153 E HAMPTON AVE STE 104
MESA
AZ
852093326
Practice Location Phone/Fax
| Phone: | 4805355688 |
| Fax: |
Provider Mailing Location
10153 E HAMPTON AVE STE 104
MESA
AZ
852093326
Provider Mailing Phone/Fax
| Phone: | 4805355688 |
| Fax: |