Individual
MRS. AUDREY LENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 357-6628
(323) 569-0849
Mailing address
10300 COMPTON AVE, LOS ANGELES, CA 90002-3628
(323) 357-6628
(323) 569-0849
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
465231
CA
133V00000X
Registered Dietitian
R465231
CA
133V00000X
Registered Dietitian
Primary
—
—
133VN1005X
Renal Nutrition Registered Dietitian
R465231
CA
133VN1006X
Metabolic Nutrition Registered Dietitian
R465231
CA
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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