Individual
STEFANIE MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
675 WYOMING AVE, KINGSTON, PA 18704-3831
(570) 288-4205
Mailing address
1334 MADISON AVE, DUNMORE, PA 18509-2448
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004885
PA
Other
Enumeration date
06/13/2014
Last updated
09/07/2016
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