Individual
MS. IRENE K. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
13277 ELMROCK AVE, MOORPARK, CA 93021-3017
(805) 660-8039
Mailing address
13277 ELMROCK AVE, MOORPARK, CA 93021-3017
(805) 660-8039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
956730
CA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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