Individual
GLENDA MAZZARRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12500 S WESTERN AVE APT 167, OKLAHOMA CITY, OK 73170-5950
(405) 326-1295
Mailing address
12500 S WESTERN AVE APT 167, OKLAHOMA CITY, OK 73170-5950
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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