Individual
MRS. KORI JESSICA SMYTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10620 TREENA ST STE 230, SAN DIEGO, CA 92131-1140
(619) 793-2010
Mailing address
9735 CAMINITO MOJADO, SAN DIEGO, CA 92131-2107
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
06/16/2018
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