Individual
STACY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
3313 SHERWOOD LN, DRESHER, PA 19025-1717
(267) 872-1093
Mailing address
3313 SHERWOOD LN, DRESHER, PA 19025-1717
(267) 872-1093
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005325
PA
Other
Enumeration date
03/22/2017
Last updated
03/22/2017
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