Individual
MRS. SUZANNE LYNELLE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 872-7711
Mailing address
6787 RUWES OAK DR, CINCINNATI, OH 45248-1030
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
LD 5275
OH
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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