Individual
AMANDA SARAH LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
612 N ROSS ST, SALINA, OK 74365-2240
(918) 373-7002
Mailing address
612 N ROSS ST, SALINA, OK 74365-2240
(918) 373-7002
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1473
OK
133V00000X
Registered Dietitian
891989
OK
332B00000X
Durable Medical Equipment & Medical Supplies
1473
OK
Other
Enumeration date
10/17/2006
Last updated
11/04/2020
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