Individual
AMANDA KATE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
312 12TH AVE NE, NORMAN, OK 73071-5238
(405) 573-3815
Mailing address
12004 N SHARTEL AVE, OKLAHOMA CITY, OK 73114-7933
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2389
OK
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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