Individual
COURTNEY ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4911 SW 19TH ST, DES MOINES, IA 50315-4487
(515) 782-9990
Mailing address
208 NE 13TH ST, GRIMES, IA 50111-1107
(515) 782-9990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
090714
IA
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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