Individual
ZELLA PAVLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RDN/LD
Contact information
Practice address
783 GRAND CASINO BLVD, SHAWNEE, OK 74804
(405) 214-5117
Mailing address
10701 SHORESIDE DR, OKLAHOMA CITY, OK 73170-2536
(580) 227-7385
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2204
OK
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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