Individual
CHRISTIN BROOKE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
27371 S 4410 RD, VINITA, OK 74301-7953
(918) 256-4800
Mailing address
6908 N 440 RD, ADAIR, OK 74330-3129
(918) 256-4800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2060
OK
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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