Individual
SUSAN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, CDE
Contact information
Practice address
515 W GRANGEVILLE BLVD, HANFORD, CA 93230-2861
(928) 247-7309
Mailing address
PO BOX 1669, HANFORD, CA 93232-1669
(559) 587-1100
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
03/27/2020
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