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Individual

ANGEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5395
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5395

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN005608
PA

Other

Enumeration date
04/21/2015
Last updated
04/21/2015
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Product
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