Audrey Lene Smith

NPI 1417361551 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1417361551
Gender Female
Enumeration Date 06/17/2014
Last Updated 06/17/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
10300 COMPTON AVE
LOS ANGELES CA, 90002-3628, US
Phone (323) 357-6628
Fax (323) 569-0849
Business Location
10300 COMPTON AVE
LOS ANGELES CA, 90002-3628, US
Phone (323) 357-6628
Fax (323) 569-0849
Toxanomy
Taxonomy Code 133V00000X
License State California
License Number R465231
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According to our database, Mrs. Audrey Lene Smith NPI is 1417361551, taxonomy code is 133V00000X and license number is R465231, license state is located at California. Audrey Lene Smith physically located at 10300 Compton Ave, Los Angeles CA, 90002-3628. NPI Number Audrey Lene Smith has the Individual type.

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1417361551 NPI number is provided on an as is basis without warranty of any kind. 1417361551 is maintained by the National Plan & Provider Enumeration System. The contents of Audrey Lene Smith are for informational purposes only.