Individual
MRS. MELISSA L DAVIS-WHITENACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.,L.D.
Contact information
Practice address
5870 S. 76TH EAST AVENUE, TULSA, OK 74145-9323
(918) 622-9099
Mailing address
5870 S. 76TH EAST AVENUE, TULSA, OK 74145-9323
(918) 622-9099
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
888
OK
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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