Doctor Name: | MISS ERICA YVONNE SMITH |
NPI Number: | 1851623599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 883089 |
Business Practice Address: | Hwy 264, Mp 388 Polacca, AZ - 860424000 |
Business Phone Number: | 9287376201 |
Business Fax Number: | 9287376098 |
Mailing Address: | Po Box 4000, POLACCA |
State: | AZ |
Postal Code: | 860424000 |
Phone Number: | 9287376201 |
Fax Number: | 9287376098 |
NPI Enumeration Date: | 02/05/2010 |
NPI Last Update Date: | 02/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 883089 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |