Organization
NUTRITIONAL VOICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA DAWN SHOTTON MS RD LD (NUTRITION THERAPIST)
(918) 449-1123
Entity
Organization
Contact information
Practice address
21333 E 104TH ST, BROKEN ARROW, OK 74014-3669
(918) 449-1123
Mailing address
21333 E 104TH ST, BROKEN ARROW, OK 74014-3669
(918) 449-1123
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200258510 A
—
OK
Enumeration date
08/22/2009
Last updated
02/12/2011
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