Individual
ELAINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 PARK PL, CAMP HILL, PA 17011-7222
(800) 203-8657
Mailing address
108 PARK PL, CAMP HILL, PA 17011-7222
(800) 203-8657
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
595822
VA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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