Individual
MRS. AMY JO PULS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-4534
Mailing address
1334 N LANSING AVE, TULSA, OK 74106-5907
(918) 587-2171
(918) 587-4534
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1565
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200050080 A
—
OK
Enumeration date
11/05/2008
Last updated
08/01/2011
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