Smith, Marilyn Diane

Smith, Marilyn Diane is an individual health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045-0600. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Smith, Marilyn Diane can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 North Main Street Tuba City AZ 86045-0600
Fax: (928) 283-2677
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 886496

Profile Details

NPI number 1285045138
LBN Legal business name Smith, Marilyn Diane
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2014
Last updated May 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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