Individual
MRS. ANITA N SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
408 S BROADVIEW ST, CAPE GIRARDEAU, MO 63703-5725
(573) 332-0808
Mailing address
758 GREEN MEADOWS DR, JACKSON, MO 63755-3255
(573) 576-0631
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2004024503
MO
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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