Organization
JOURNEY TO SUCCESS - LIFESTYLE NUTRITION, LLC
Active
Other names
Journey To Success - Lifestyle Nutrition, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE E GAULDIN RDN (OWNER)
(918) 212-6216
Entity
Organization
Contact information
Practice address
13315 E 112TH ST N STE 203, OWASSO, OK 74055-8376
(918) 212-6216
(918) 308-3286
Mailing address
13315 E 112TH ST N STE 203, OWASSO, OK 74055-8376
(918) 212-6216
(918) 308-3286
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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