Individual
MRS. PETRA HAYLEY COLINDRES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,RDN/LD,IBCLC,CPT
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
LP2053
OK
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
08/03/2015
Last updated
04/26/2017
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