Individual
MRS. AMANDA LEIGH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD
Contact information
Practice address
1176 W CHESTNUT ST, MARIANNA, AR 72360-7862
(870) 821-3184
Mailing address
1176 W CHESTNUT ST, MARIANNA, AR 72360-7862
(870) 821-3184
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1202
AR
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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