Individual
MRS. CHERYL REAMES SHREVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDLD
Contact information
Practice address
4005 SHILOH AVENUE, ENID, OK 73703-2011
(580) 242-0911
Mailing address
4214 COUNTRY CLUB DR, ENID, OK 73703-2063
(580) 242-0911
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD135
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100675930A
—
OK
Enumeration date
10/03/2006
Last updated
02/23/2010
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