Individual
MRS. CONNIE SUE MANION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1056 BRIARWOOD DR, SULPHUR, OK 73086-9575
(580) 618-4108
(580) 272-1618
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1518
(580) 272-1618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
#1624 LICENSE DIET
OK
Other
Enumeration date
10/22/2008
Last updated
02/22/2021
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