Organization
LADYBUG NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE M BAHAM RD (OWNER)
(225) 284-9679
Entity
Organization
Contact information
Practice address
225 PROMISE WAY, EDMOND, OK 73003-3086
(225) 284-9679
Mailing address
225 PROMISE WAY, EDMOND, OK 73003-3086
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
03/24/2025
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