Individual
CAROLINE NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1518
(580) 272-1618
Mailing address
430 N MONTE VISTA ST, ADA, OK 74820-4610
(580) 421-1518
(580) 272-1618
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1570
OK
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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