Individual
MRS. STEPHANIE MICHELLE CARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD CNSC
Contact information
Practice address
3567 SANTA FE DR, CHOCTAW, OK 73020-5914
(512) 693-7045
Mailing address
3567 SANTA FE DR, CHOCTAW, OK 73020-5914
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1568
OK
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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