Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LN
Contact information
Practice address
2429 NAZARETH RD STE P29, EASTON, PA 18045-2743
(610) 417-8577
Mailing address
3290 VISTA DR, DANIELSVILLE, PA 18038-9532
(610) 417-8577
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005572
PA
Other
Enumeration date
07/06/2021
Last updated
09/11/2021
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