Individual
ANNA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
1319 MISSOURI AVE, JEFFERSONVILLE, IN 47130-3726
(812) 283-2077
(812) 283-2411
Mailing address
1806 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 285-5923
(812) 280-5723
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001431A
IN
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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