Individual
MS. PATRICIA RENAE GASKINS-CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
901 N PORTER AVE, FOOD & NUTRITION SERVICES, NORMAN, OK 73071-6404
(405) 307-2130
(405) 307-2120
Mailing address
2716 SW 123RD CT, OKLAHOMA CITY, OK 73170-4739
(405) 691-0444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD517
OK
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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