Individual
SUZANNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4420 LAKE BOONE TRL, RALEIGH, NC 27607-7505
(919) 784-6594
(919) 784-3180
Mailing address
4420 LAKE BOONE TRAIL, RALEIGH, NC 27607
(919) 784-6594
(919) 784-3180
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001731
NC
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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