Individual
MRS. TERRI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
3003 MIRAMONTE CIRCLE, EDMOND, OK 73003-7300
(580) 339-2537
Mailing address
3003 MIRAMONTE CIR, EDMOND, OK 73003-2257
(580) 339-2537
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1289
OK
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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