Individual
MELICENT MAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
1120 112TH AVE NE, BELLEVUE, WA 98004-4500
(425) 688-5293
Mailing address
121 159TH AVE SE, BELLEVUE, WA 98008-4617
(425) 643-2615
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
929639
WA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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