NPI | 1679060529 |
---|---|
Other Name | BLAKELY BERRY DIETETICS AND WELLNESS |
Entity Type | Organization |
Authorized Contact | BLAKELY BERRY Registered Dietitian 405-823-1077 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 2139) |
Enumeration Date | 2018-04-17 |
Last Update Date | 2018-04-17 |