Individual
MS. SHELAH RUTH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
24 E 17TH ST APT 105, TULSA, OK 74119-4836
(918) 647-6465
Mailing address
517 S COLLEGE ST, SILOAM SPRINGS, AR 72761-3503
(918) 647-6465
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86212379
AR
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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