Organization
RENEW U NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA KAYLENE HUMPHREYS RD, LD (OWNER/CEO)
(580) 272-7689
Entity
Organization
Contact information
Practice address
52984 423RD AVE, TALIHINA, OK 74571-2053
(580) 272-7689
(580) 219-7046
Mailing address
52984 423RD AVE, TALIHINA, OK 74571-2053
(580) 272-7689
(580) 219-7046
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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