NPI | 1790853562 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA SUE BRUMMIT President 918-645-5775 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 478) |
Enumeration Date | 2006-12-01 |
Last Update Date | 2020-08-22 |