Individual
MICHELLE TILLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 853-0128
Mailing address
14890 GILBERT ST, CHOCTAW, OK 73020-8684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2570
OK
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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