Individual
RACHEL SHEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4300
Mailing address
4444 E 41ST ST, TULSA, OK 74135-2527
(918) 619-4300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86116354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2485
OKLAHOMA MEDICAL BOARD
OK
Enumeration date
02/20/2023
Last updated
02/20/2023
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