Individual
MRS. ANGELINA SUMAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,LD
Contact information
Practice address
9636 N MAY AVE, SUITE 279, OKC, OK 73120
(405) 848-9344
Mailing address
1700 RAQUEL ROAD, EDMOND, OK 73003
(405) 330-8141
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1386
OK
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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