| NPI | 1043615941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY KAY HUBBARD Owner/ Dietitian 405-818-6801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK LD520) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |