Individual
STACY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4365 E PECOS RD STE 122, GILBERT, AZ 85295-8052
(602) 733-7085
Mailing address
2737 E WILDHORSE DR, GILBERT, AZ 85297-7542
(602) 733-7085
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
896003
AZ
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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