Individual
MRS. DESSARAE NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.N., L.D.
Contact information
Practice address
895 7TH ST E, SAINT PAUL, MN 55106-3871
(651) 793-2231
Mailing address
895 7TH ST E, SAINT PAUL, MN 55106-3871
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3470
MN
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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