Individual
MRS. CARIE LYNN WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4205 MCAULEY BLVD STE 100, OKLAHOMA CITY, OK 73120-8391
(405) 543-9525
Mailing address
4205 MCAULEY BLVD STE 100, OKLAHOMA CITY, OK 73120-8391
(405) 543-9525
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1776
OK
Other
Enumeration date
05/23/2011
Last updated
09/06/2013
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