Individual
JENNA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDN
Contact information
Practice address
118 BUSINESS PARK DR, UTICA, NY 13502-6302
(315) 793-2800
(315) 793-2807
Mailing address
118 BUSINESS PARK DR, UTICA, NY 13502-6302
(315) 793-2800
(315) 793-2807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86068712
NY
Other
Enumeration date
03/29/2021
Last updated
12/16/2022
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