Individual
MOLLIE MOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6655 SOUTH YALE AVENUE, TULSA, OK 74136
(918) 491-3702
Mailing address
6655 SOUTH YALE AVENUE, TULSA, OK 74136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
0035
NM
133V00000X
Registered Dietitian
Primary
1455
OK
Other
Enumeration date
08/09/2006
Last updated
07/09/2008
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