Individual
MRS. TWYALA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD CSP LD
Contact information
Practice address
1935 MOTOR ST, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2134
(214) 456-6287
Mailing address
6566 DYKES WAY, DALLAS, TX 75230-1930
(214) 456-2134
(214) 456-6287
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT04366
TX
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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