Individual
MRS. RYAN MICHELLE BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
301 NW 132ND ST, OKLAHOMA CITY, OK 73114-2316
(405) 905-9228
Mailing address
4000 SHEFFIELD AVE, EDMOND, OK 73034-7335
(405) 905-9228
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
1902
OK
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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