Individual
ELIZABETH JO HAVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
Mailing address
19600 E ROSS ST, TAHLEQUAH, OK 74464-0545
(539) 234-1000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2626
OK
Other
Enumeration date
05/17/2022
Last updated
02/05/2024
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