Individual
HALEY DAWN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2084
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 773-2084
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86151020
ID
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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