Individual
MS. MARY DARLENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 DR WARREN TUTTLE DR, HARRISBURG, IL 62946-2718
(618) 253-7671
(618) 253-7104
Mailing address
208 RED ROW, MARION, IL 62959-5320
(618) 579-8993
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.002899
IL
Other
Enumeration date
01/14/2020
Last updated
01/14/2020
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