Individual
MRS. MICHELE HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
744 W 9TH ST, TULSA, OK 74127-9907
(918) 599-5744
Mailing address
3117 W EL DORADO ST, BROKEN ARROW, OK 74011-5833
(918) 814-6682
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2796
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86109894
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
01/25/2023
Last updated
04/21/2023
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