Individual
ASHLEY LYNN ETHRIEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/LD
Contact information
Practice address
1200 N PHILLIPS AVE STE 12100, OKLAHOMA CITY, OK 73104-4600
(405) 271-8685
(405) 271-2645
Mailing address
1200 N PHILLIPS AVE STE 12100, OKLAHOMA CITY, OK 73104-4600
(405) 271-8685
(405) 271-2645
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1364
OK
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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