Individual
MRS. ANGELA ANN HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
1000 N LEE AVE, OKLAHOMA CITY, OK 73102-1036
(405) 272-6126
Mailing address
11000 SE 89TH ST, OKLAHOMA CITY, OK 73150-5502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
966
OK
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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