Individual
OLIVIA BEALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1521 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3512
(405) 365-7221
Mailing address
1521 N HUDSON AVE, OKLAHOMA CITY, OK 73103-3512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86293707
OK
Other
Enumeration date
09/13/2023
Last updated
10/16/2023
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