Individual
JESSICA LYNNE ZBAVITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
2621 MONTA AVE, MUSKOGEE, OK 74403-6030
(918) 683-1662
Mailing address
2621 MONTA AVE, MUSKOGEE, OK 74403-6030
(918) 683-1662
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
802
OK
Other
Enumeration date
09/13/2007
Last updated
09/13/2007
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