Individual
MRS. MARYANN SARAH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7290
Mailing address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7290
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
855
OR
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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