| NPI | 1497934335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL DAWN KAISER Diabetes Dietitian 918-689-2547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: OK 1542) |
| Enumeration Date | 2007-10-28 |
| Last Update Date | 2008-09-24 |