Individual
CHANNA LEE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETICIAN
Contact information
Practice address
7600 S HIGHWAY 69A, MIAMI, OK 74354-1016
(918) 542-1655
(918) 540-1685
Mailing address
PO BOX 1498, MIAMI, OK 74355-1498
(918) 542-1655
(918) 540-1685
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
871
OK
Other
Enumeration date
02/23/2010
Last updated
12/19/2012
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