Individual
PAMELA PARISH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
3185 KNIGHT WAY SE, GRAND RAPIDS, MI 49546-4406
(616) 526-6187
Mailing address
4952 SEQUOIA DR SE, GRAND RAPIDS, MI 49512-9681
(269) 876-0479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
706239
MI
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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