Individual
MRS. LISHA M SMATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CNSC
Contact information
Practice address
9353 SW 21ST ST, OKLAHOMA CITY, OK 73128-4928
(405) 627-5650
Mailing address
9353 SW 21ST ST, OKLAHOMA CITY, OK 73128-4928
(405) 627-5650
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1258
OK
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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