Organization
NOURISHED BY RACHEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL R BENIGHT RD (OWNER)
(918) 638-9106
Entity
Organization
Contact information
Practice address
2838 S 73RD EAST AVE, TULSA, OK 74129-6286
(918) 638-9106
Mailing address
2838 S 73RD EAST AVE, TULSA, OK 74129-6286
(918) 638-9106
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417349291
—
OK
Enumeration date
06/01/2023
Last updated
07/21/2023
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