Individual
MS. MARSHA ANN BASNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3324 E 30TH PL N, TULSA, OK 74115-2421
(918) 835-8509
Mailing address
3324 E 30TH PL N, TULSA, OK 74115-2421
(918) 835-8509
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
LD419
OK
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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