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Individual

DR. JOHANNA SMOKOSKI RYAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ND

Contact information

Practice address
11A HOSPITAL CT STE 6, BELLOWS FALLS, VT 05101-1588
(802) 376-1185
Mailing address
11A HOSPITAL CT STE 6, BELLOWS FALLS, VT 05101-1588
(802) 732-8428
(802) 732-8475

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
099.0134036
VT
175F00000X
Naturopath
NT60253613
WA
207Q00000X
Family Medicine Physician
099.0134036
VT

Other

Enumeration date
09/06/2012
Last updated
09/13/2018
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