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Individual
MANDEL JOHNSON SMITH
Active
Individual
MANDEL JOHNSON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN006633
PA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
DN006633
PA
Other
Enumeration date
05/20/2024
Last updated
02/02/2026
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