Individual
GRACE EVANGELINE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3398 E 6TH AVE APT B103, STILLWATER, OK 74074-6635
(317) 760-5690
Mailing address
3398 E 6TH AVE APT B103, STILLWATER, OK 74074-6635
(317) 760-5690
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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