Individual
ELLSWORTH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, LD
Contact information
Practice address
347 AULTMAN AVE NW, CANTON, OH 44708-5526
(330) 327-8430
Mailing address
347 AULTMAN AVE NW, CANTON, OH 44708-5526
(330) 327-8430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.8097
OH
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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