Individual
LARITA DENISE PARKISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR, LD
Contact information
Practice address
307 OLIVE, BOX 385, NORTH MIAMI, OK 74358-0385
(918) 541-5185
Mailing address
PO BOX 385, 307 OLIVE, NORTH MIAMI, OK 74358-0385
(918) 541-5185
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1440
OK
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1440
OK
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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