Individual
SARA WILLIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(910) 450-3526
Mailing address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
L005612
NC
133V00000X
Registered Dietitian
L005612
NC
Other
Enumeration date
11/09/2018
Last updated
12/28/2021
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