Individual
ANDREA L RESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CSO, LD
Contact information
Practice address
301 S 22ND ST, COLLINSVILLE, OK 74021-2601
(918) 693-6977
Mailing address
301 S 22ND ST, COLLINSVILLE, OK 74021-2601
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1619
OK
Other
Enumeration date
09/14/2014
Last updated
09/14/2014
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