| NPI | 1972771616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY DAWN BUZAN Registered Dietitian,Vice President 405-503-2759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: OK 1530) |
| Enumeration Date | 2008-02-15 |
| Last Update Date | 2008-02-15 |