Individual
ELISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
320 32ND AVE W STE 285, WEST FARGO, ND 58078-8372
(701) 866-2163
Mailing address
320 32ND AVE W STE 285, WEST FARGO, ND 58078-8372
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1625
ND
Other
Enumeration date
11/29/2024
Last updated
11/29/2024
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