Individual
STACEE ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9109 LAWHON ST, DEL RIO, TX 78840-2712
(501) 960-0876
Mailing address
9109 LAWHON ST, DEL RIO, TX 78840-2712
(501) 960-0876
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
952
AR
Other
Enumeration date
05/20/2009
Last updated
05/20/2009
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