Individual
MRS. HEAVEN FRISBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1001 S 41ST ST E, MUSKOGEE, OK 74403-6253
(918) 781-6500
Mailing address
113 S PITTMAN ST, PRAIRIE GROVE, AR 72753-3247
(479) 283-1892
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1482
AR
133V00000X
Registered Dietitian
Primary
2052
OK
Other
Enumeration date
06/17/2015
Last updated
06/17/2015
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