Individual
EMILY BEATRICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LN
Contact information
Practice address
2360 MULLAN RD, SUITE C, MISSOULA, MT 59808-1811
(406) 721-4436
Mailing address
2360 MULLAN RD, SUITE C, MISSOULA, MT 59808-1811
(406) 721-4436
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-34405
MT
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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