Individual
SARAH JENNETTE BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
10306 N 138TH EAST AVE, OWASSO, OK 74055-4665
(918) 401-0006
(877) 380-4628
Mailing address
10746 E 120TH CT N, COLLINSVILLE, OK 74021-5542
(918) 401-0006
(877) 380-4628
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1550
OK
133V00000X
Registered Dietitian
516
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200117350C
—
OK
Enumeration date
08/13/2007
Last updated
02/10/2012
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