Individual
MS. CAROL MARIE SCHWAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH,RD,LD
Contact information
Practice address
5631 N.W. 37, OKLAHOMA CITY, OK 73122
(405) 495-0669
(405) 495-0669
Mailing address
5631 N.W. 37, OKLAHOMA CITY, OK 73122
(405) 495-0669
(405) 495-0669
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD263
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200006120A
—
OK
05
—
200006120B
—
OK
05
—
200006120C
—
OK
Enumeration date
10/03/2006
Last updated
02/09/2011
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