Individual
ADRIENNE ELIZABETH RADCLIFF HEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
4200 W MEMORIAL RD STE 508, OKLAHOMA CITY, OK 73120-8359
(918) 755-7561
Mailing address
5335 E 29TH ST, TULSA, OK 74114-6305
(918) 625-6263
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2093
OK
Other
Enumeration date
11/17/2015
Last updated
11/30/2020
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