Individual
MS. SHELLY RENEE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73501
(580) 355-8699
(580) 585-5461
Mailing address
3401 W GORE BLVD, LAWTON, OK 73501
(580) 355-8699
(580) 585-5461
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1415
OK
Other
Enumeration date
03/26/2008
Last updated
05/27/2008
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