Individual
AVERY MICHELLE CANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
16308 IRONSTONE DR, EDMOND, OK 73013-6089
(405) 885-0270
Mailing address
511 NW 29TH ST APT 1, OKLAHOMA CITY, OK 73103-1049
(918) 257-9760
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3195
OK
Other
Enumeration date
09/03/2025
Last updated
09/03/2025
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