Individual
GREG FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
12579 S 6TH ST, JENKS, OK 74037-5095
(405) 203-0747
Mailing address
12579 S 6TH ST, JENKS, OK 74037-5095
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/19/2023
Last updated
01/19/2023
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