Individual
MS. JESSICA L. STAUFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
9215 S FULTON AVE, TULSA, OK 74137-4018
(405) 747-1720
Mailing address
9215 S FULTON AVE, TULSA, OK 74137-4018
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
DT80815
TX
Other
Enumeration date
02/25/2010
Last updated
02/09/2012
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