Individual
MS. MARY ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
1314 E WALNUT ST, WASHINGTON, IN 47501-2860
(812) 254-2760
Mailing address
907 SW 3RD ST, WASHINGTON, IN 47501-3984
(812) 887-2090
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000049A
IN
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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