Individual
MRS. DESSIREA CRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6192
(580) 379-5000
Mailing address
5920 NW LINCOLN AVE, LAWTON, OK 73505-1307
(580) 481-9270
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3027
OK
Other
Enumeration date
10/01/2020
Last updated
08/12/2024
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