Individual
COURNEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.D.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 936-5288
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 936-5288
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1944
OK
Other
Enumeration date
09/11/2014
Last updated
09/11/2014
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