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Individual

MRS. JANETTE L SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1034 N 500 W, PROVO, UT 84604-3380
(801) 373-7850
(801) 357-7997
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
(801) 357-7475
(801) 357-7997

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3469264901
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3469264901
UTAH STATE LICENSE
UT
Enumeration date
07/27/2006
Last updated
07/08/2007
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