Individual
SHANITA SHAHREEN ROB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, LD
Contact information
Practice address
4901 W ELGIN ST, BROKEN ARROW, OK 74012-8737
(918) 829-2119
Mailing address
4901 W ELGIN ST, BROKEN ARROW, OK 74012-8737
(918) 829-2119
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86115586
OK
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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