Individual
MRS. BROOKE HALEY MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
28149 E 97TH ST S, BROKEN ARROW, OK 74014-3413
(918) 408-0576
Mailing address
28149 E 97TH ST S, BROKEN ARROW, OK 74014-3413
(918) 408-0576
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1785
OK
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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