Individual
MS. EMILY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3223 E 31ST ST, TULSA, OK 74105-2452
(918) 250-7093
(918) 250-9976
Mailing address
2001 W PRINCETON CIR APT 327, BROKEN ARROW, OK 74012-5077
(479) 739-3851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
738
OK
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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