Individual
MRS. TAMAIRE OJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHSA, RD, LD, LND
Contact information
Practice address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221
Mailing address
513 N OAK ST, EUREKA, KS 67045-1238
(316) 323-9854
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1534
KS
133V00000X
Registered Dietitian
LND 1417
PR
133V00000X
Registered Dietitian
Primary
RD 927337
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014081015
MEDICARE PTAN
KS
Enumeration date
12/28/2006
Last updated
07/21/2022
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