Individual
JOCELYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
6704 250TH AVE, SALEM, WI 53168-9128
(262) 358-0508
Mailing address
6704 250TH AVE, SALEM, WI 53168-9128
(262) 358-0508
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3488-29
WI
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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