Individual
CODY WERNEBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 HEALTHPLEX PKWY, NORMAN, OK 73072-9749
(405) 515-2131
Mailing address
5246 MOCKINGBIRD LN, BLANCHARD, OK 73010-7814
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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