Individual
MRS. LINDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10110 SOUTH 7650 EAST, CROW AGENCY, MT 59022-0009
(406) 638-3553
Mailing address
PO BOX 9, CROW AGENCY, MT 59022-0009
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
634941
MT
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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