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Organization

NORTHERN HILLS NUTRITION AND DIETETICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWNA SMOOT RDN LN (REGISTERED DIETITIAN/OWNER)
(480) 285-5662
Entity
Organization

Contact information

Practice address
428 GOOSEBERRY RD, SPEARFISH, SD 57783-9008
(605) 215-1838
Mailing address
428 GOOSEBERRY RD, SPEARFISH, SD 57783-9008
(480) 285-5662

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/24/2025
Last updated
03/24/2025
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