Individual
MS. SAWANYA JANTHACHOTIKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(805) 558-2823
Mailing address
NUTRITION CARE DIVISION, 4301 WILSON ST, FORT SILL, OK 73503-4472
(580) 558-2823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2208
OK
Other
Enumeration date
01/06/2021
Last updated
03/10/2025
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