Individual
ALYSSA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
15628 WOODSIDE ST, LIVONIA, MI 48154-1947
(734) 657-9555
Mailing address
15628 WOODSIDE ST, LIVONIA, MI 48154-1947
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86003623
—
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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