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Individual

TARA ELIZABETH SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDN

Contact information

Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
(225) 683-3411
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-3411

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2391
LA

Other

Enumeration date
09/24/2012
Last updated
09/24/2012
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