Individual
RACHAEL EDMUNDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Mailing address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 436-3980
(580) 421-6283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1888
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1888
1888
OK
Enumeration date
12/02/2013
Last updated
12/02/2013
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