Individual
RICKEYA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1200 ATLANTIC SHORES DR, VIRGINIA BEACH, VA 23454-7311
(757) 716-2000
(757) 716-2019
Mailing address
516 KINGS GATE, CHESAPEAKE, VA 23320-7904
(757) 609-8531
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1097797
AND CDR ID NUMBER
—
Enumeration date
10/05/2016
Last updated
10/05/2016
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