Individual
MANDI LAUREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CNSC
Contact information
Practice address
946 MILLER RD, POTTSTOWN, PA 19465-7780
(610) 327-3275
Mailing address
946 MILLER RD, POTTSTOWN, PA 19465-7780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003893
PA
Other
Enumeration date
05/01/2009
Last updated
05/18/2010
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