Individual
PAULA MARIE HUNNICUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHN
Contact information
Practice address
23127 E 930 RD, CUSTER CITY, OK 73639-3900
(580) 309-2828
Mailing address
23127 E 930 RD, CUSTER CITY, OK 73639-3900
(580) 309-2828
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
14772
OK
Other
Enumeration date
03/10/2022
Last updated
02/13/2023
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