Individual
MS. PAULA NICOLE BROOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D./L.D.
Contact information
Practice address
2307 GORDON COOPER DR, SHAWNEE, OK 74801-9007
(405) 395-9303
(405) 395-9305
Mailing address
1215 WINDSOR PL, SHAWNEE, OK 74804-2347
(405) 406-5503
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1774
OK
Other
Enumeration date
04/05/2012
Last updated
04/05/2012
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