Individual
SOPHIA NOEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RDN
Contact information
Practice address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 520-9074
Mailing address
15146 16TH AVE, MARNE, MI 49435-9605
(616) 520-9074
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
86172042
MI
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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