Individual
MS. SHARON LOUISE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1200 18TH ST E, HASTINGS, MN 55033-3680
(651) 438-8518
(651) 437-2012
Mailing address
1556 OAKWOOD DR, SHOREVIEW, MN 55126-8554
(651) 784-3845
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1333
MN
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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