| NPI | 1316044548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA DEANNE DUNN Clinical Dietitian 405-270-0501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: 707982) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |