Individual
SUE ANN SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
231 W PINE LAKE DR, NEWAYGO, MI 49337-9264
(231) 652-4618
Mailing address
182 N MAIN ST, KENT CITY, MI 49330-8938
(616) 862-1363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
850996
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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