TERA BETH WINDHAM

TAHLEQUAH, OK
NPI1437210408
Former NameTERA BETH BOHANON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  1389)
Enumeration Date2006-12-13
Last Update Date2007-07-09
Business Address
-- TERA BETH WINDHAM RD LD
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100
Mailing Address
-- TERA BETH WINDHAM RD LD
100 S BLISS AVE
TAHLEQUAH, OK 74464-2512
Phone number: 918-458-3100