Individual
JESSICA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.N.
Contact information
Practice address
6498 STEVENS RD, HAMBURG, NY 14075-6130
(716) 880-0197
Mailing address
6498 STEVENS RD, HAMBURG, NY 14075-6130
(716) 880-0197
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007940-1
NY
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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