SUMMER WILSON THOMPSON

TULSA, OK
NPI1114001948
Former NameSUMMER RENAE WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1329)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
-- SUMMER WILSON THOMPSON RD/LD
1007 S PEORIA AVE
TULSA, OK 74120-4495
Phone number: 918-858-5217
Mailing Address
-- SUMMER WILSON THOMPSON RD/LD
5332 E 20TH ST
TULSA, OK 74112-6918
Phone number: 918-712-9224