Individual
MRS. SERICCA LYNN WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LD
Contact information
Practice address
1011 HONOR HEIGHTS DR, MUSKOGEE, OK 74401-1318
(918) 351-4752
Mailing address
20731 W HASKELL LAKE RD, HASKELL, OK 74436-5039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2476
OK
Other
Enumeration date
11/04/2019
Last updated
05/15/2024
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