Individual
MS. CATHERINE WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD, CDE
Contact information
Practice address
4913 W RENO AVE, OKLAHOMA CITY, OK 73127-6339
(405) 948-4900
Mailing address
PO BOX 581, SPENCER, OK 73084-0581
(405) 824-6558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1115
OK
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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