Organization
BALANCED NUTRITION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MICHELLE NICAR RD (OWNER)
(405) 808-5697
Entity
Organization
Contact information
Practice address
3030 NW EXPRESSWAY STE 300, OKLAHOMA CITY, OK 73112-5400
(405) 808-5697
Mailing address
3030 NW EXPRESSWAY STE 300, OKLAHOMA CITY, OK 73112-5400
(405) 217-3646
(405) 259-1444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/13/2024
Last updated
10/31/2024
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