Individual
IOLA EUNICE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, L/DN
Contact information
Practice address
4229 NW 50TH TER, LAUDERDALE LAKES, FL 33319-4678
(954) 290-0037
(954) 535-1089
Mailing address
4229 NW 50TH TER, LAUDERDALE LAKES, FL 33319-4678
(954) 290-0037
(954) 535-1089
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND 4610
FL
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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