Individual
CONNOR MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
17500 SE 392ND ST, AUBURN, WA 98092-9705
(253) 939-6648
Mailing address
2505 E MAIN APT H301, PUYALLUP, WA 98372-7094
(253) 315-4995
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
61373596
WA
Other
Enumeration date
11/29/2022
Last updated
11/29/2022
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