Organization
MIRANDA BROWN NUTRITION AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRANDA CAROLE BROWN RDN (OWNER)
(918) 671-0880
Entity
Organization
Contact information
Practice address
1638 S CARSON AVE APT 403, TULSA, OK 74119-4235
(918) 671-0880
Mailing address
1638 S CARSON AVE APT 403, TULSA, OK 74119-4235
(918) 671-0880
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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