Individual
JORDAN ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
121 RANDALL AVE, POINT PLEASANT BEACH, NJ 08742-3126
(585) 490-2628
Mailing address
121 RANDALL AVE, POINT PLEASANT BEACH, NJ 08742-3126
(585) 490-2628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/11/2021
Last updated
09/11/2021
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