Individual
JENNIFER EILEEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
7439 CHUMMLEY CT, FALLS CHURCH, VA 22043-2938
(619) 254-0137
Mailing address
7439 CHUMMLEY CT, FALLS CHURCH, VA 22043-2938
(619) 254-0137
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076055
VA
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
04/02/2020
Last updated
04/21/2021
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