JANE WALTA

LAWTON, OK
NPI1477881712
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: OK  915)
Enumeration Date2009-11-25
Last Update Date2019-09-20
Business Address
JANE WALTA R.D.
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 918-316-4572
Mailing Address
JANE WALTA R.D.
1515 NE LAWRIE TATUM RD
LAWTON, OK 73507-3002
Phone number: 918-316-4572