Individual
MISS LAURA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
(707) 825-5035
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
(707) 825-5035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
922295
AL
Other
Enumeration date
04/03/2009
Last updated
04/03/2009
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