Individual
JAISA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
924 NW 58TH ST STE 102, OKLAHOMA CITY, OK 73118-5905
(405) 445-8977
Mailing address
3104 GRASSHOPPER WAY, YUKON, OK 73099-0458
(405) 445-8977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2935
OK
Other
Enumeration date
02/13/2024
Last updated
06/09/2025
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