Individual
TIEARA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN
Contact information
Practice address
816 GREENWOOD CIR APT 211, NAPERVILLE, IL 60563-2676
(630) 947-9850
Mailing address
816 GREENWOOD CIR APT 211, NAPERVILLE, IL 60563-2676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
64009270
IL
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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