Individual
SARA E BULLARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
6608 N WESTERN AVE # 1620, OKLAHOMA CITY, OK 73116-7326
(646) 390-5066
(646) 390-2220
Mailing address
27580 SHILOH CROSSING RD, WISTER, OK 74966-5005
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
08/26/2024
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