Individual
SHANNON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
639 S DUNBRIDGE RD, BOWLING GREEN, OH 43402-9086
(419) 819-3078
Mailing address
120 BIRCHCREST DR, PERRYSBURG, OH 43551-1801
(607) 215-5070
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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