Individual
MRS. KRISTA DANIELLE VAILS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
108 N BROADWAY ST, STIGLER, OK 74462-2042
(918) 277-2087
Mailing address
108 N BROADWAY ST, STIGLER, OK 74462-2042
(918) 277-2087
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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