Individual
NATALIE MALLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1265 S UTICA AVE STE 100, TULSA, OK 74104-4243
(918) 579-3314
Mailing address
1265 S UTICA AVE STE 100, TULSA, OK 74104-4243
(918) 579-3314
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1845
OK
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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