Organization
ONE IN A MELON DIETITIAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER LEIGH EVANS MS, RD/LD (OWNER)
(918) 924-6808
Entity
Organization
Contact information
Practice address
1978 W 65TH ST, TULSA, OK 74132-1931
(918) 924-6808
Mailing address
2800 N 23RD ST APT 2021, BROKEN ARROW, OK 74014-2044
(918) 861-7658
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200792580A
—
OK
Enumeration date
11/05/2018
Last updated
08/02/2023
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