Individual
MRS. DIANE SHEETS COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
9636 N MAY AVE, SUITE 274, OKLAHOMA CITY, OK 73120-2727
(405) 848-9344
(405) 302-0333
Mailing address
9636 N MAY AVE, SUITE 274, OKLAHOMA CITY, OK 73120-2727
(405) 848-9344
(405) 302-0333
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
330
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112620A
—
OK
Enumeration date
06/30/2006
Last updated
10/26/2009
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