Individual
ELIZABETH NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3357
(302) 256-4100
Mailing address
1710 HARPER RD, BECKLEY, WV 25801-3357
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1115
WV
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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