Individual
ELIZABETH GRACE MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN/LD, CSOWM
Contact information
Practice address
1004 SHADOWLAKE RD, NORMAN, OK 73071-6877
(405) 973-7841
Mailing address
629 W MAIN ST # 1049, OKLAHOMA CITY, OK 73102-2221
(405) 777-7261
(405) 337-9672
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1849
OK
Other
Enumeration date
07/29/2024
Last updated
03/10/2025
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