Individual
MRS. SARA MELISSA POLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
3805 LORINGS RD, NORMAN, OK 73072-0213
(405) 408-2952
Mailing address
3805 LORINGS ROAD, NORMAN, OK 73072
(405) 408-2952
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1541
OK
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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