Individual
MRS. CRYSTAL DAWN PELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, CDCES, LD
Contact information
Practice address
2403 W MAIN ST, HENRYETTA, OK 74437-3893
(918) 218-7505
Mailing address
707 SW 5TH ST, CHECOTAH, OK 74426-4419
(918) 689-0055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1542
OK
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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