Individual
SAMANTHA DAWN STRETESKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD/LD, PA-C
Contact information
Practice address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(405) 271-2663
Mailing address
1 S BRYANT AVE, EDMOND, OK 73034-6309
(405) 271-2663
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
2041
OK
363A00000X
Physician Assistant
Primary
4449
OK
Other
Enumeration date
04/07/2015
Last updated
04/21/2024
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