Individual
ERIC SPONAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD/LD
Contact information
Practice address
2130 NW 118TH TER, OKLAHOMA CITY, OK 73120-7843
(405) 612-0356
Mailing address
2130 NW 118TH TER, OKLAHOMA CITY, OK 73120-7843
(405) 612-0356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1571
OK
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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