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Individual

KATE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNLP

Contact information

Practice address
16108 PENN CENTRAL WAY, MONUMENT, CO 80132-6120
(757) 329-1594
Mailing address
16108 PENN CENTRAL WAY, MONUMENT, CO 80132-6120
(757) 329-1594

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary

Other

Enumeration date
04/01/2021
Last updated
04/01/2021
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