Individual
MRS. JUSSARA MARISA LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
711 STANTON L YOUNG BLVD STE 430A, OKLAHOMA CITY, OK 73104-5022
(405) 271-8001
(405) 271-5439
Mailing address
711 STANTON L YOUNG BLVD STE 430A, OKLAHOMA CITY, OK 73104-5022
(405) 271-8001
(405) 271-5439
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD2121
OK
133V00000X
Registered Dietitian
ND6564
FL
Other
Enumeration date
02/24/2016
Last updated
05/29/2024
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