Individual
MS. STEPHANIE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
1 MED CENTER DR, NUTRITION AND FOOD SERVICE- 120, CLARKSBURG, WV 26301-4155
(304) 623-3461
Mailing address
1 MED CENTER DR, NUTRITION AND FOOD SERVICE- 120, CLARKSBURG, WV 26301
(304) 623-3461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0551
WV
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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