Individual
JESSICA RAE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6161 S YALE AVE, TULSA, OK 74136-1902
(918) 494-7201
(918) 494-7270
Mailing address
3233 S MARION AVE, TULSA, OK 74135-1645
(918) 745-8966
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1298
OK
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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