Individual
MS. SUSAN GAIL WOODS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD/LD
Contact information
Practice address
2056 WESTBURY DR, MIDWEST CITY, OK 73130-8209
(405) 550-7985
(405) 769-9247
Mailing address
2056 WESTBURY DR, MIDWEST CITY, OK 73130-8209
(405) 550-7985
(405) 769-9247
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
713
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200042020C
—
OK
Enumeration date
09/02/2006
Last updated
12/03/2009
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