Individual
MISS ADRIANA TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
6655 S YALE AVE, TULSA, OK 74136-3326
(918) 502-5222
Mailing address
6600 S YALE AVE STE 1200, TULSA, OK 74136-3361
(918) 488-6653
(918) 488-6627
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2365
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2365
OKLAHOMA MEDICAL LICENSE
OK
Enumeration date
01/25/2019
Last updated
01/25/2019
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