Individual
TIFFANY RENE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/LD
Contact information
Practice address
8073 FORREST GLENN RD, CLAREMORE, OK 74019-7509
(580) 716-2588
Mailing address
6161 S YALE AVE, TULSA, OK 74136-1902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1766
OK
Other
Enumeration date
11/13/2019
Last updated
11/13/2019
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