Individual
REBEKAH LEA MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
921 NE 13TH ST, OKLAHOMA CITY, OK 73104-5007
(405) 456-1000
(405) 456-1695
Mailing address
1105 NW 7TH PL, MOORE, OK 73170-1207
(405) 456-1000
(405) 456-1695
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2017
OK
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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