Individual
MS. CHERYL L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1461 E OMAHA ST, APT. B2, BROKEN ARROW, OK 74012-0316
(918) 576-4583
Mailing address
1461 E OMAHA ST, APT. B2, BROKEN ARROW, OK 74012-0316
(918) 576-4583
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1467
OK
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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