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Individual

MRS. JESSICA HOPPOCK-SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD

Contact information

Practice address
925 NE 8TH ST, OKLAHOMA CITY, OK 73104-5800
(405) 236-3043
(405) 239-2390
Mailing address
608 E AMELIA TER, MUSTANG, OK 73064-6404
(316) 393-7807

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1716
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1716
OKLAHOMA BOARD OF MEDICAL LICENSURE AND SUPERVISION
OK
Enumeration date
01/06/2020
Last updated
11/27/2023
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