Organization
THE MOTHER ROAD DIETITIAN, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTAL DUNHAM RDN, LD (REGISTERED DIETITIAN NUTRITIONIST)
(918) 539-0678
Entity
Organization
Contact information
Practice address
8211 E REGAL PL STE 100, TULSA, OK 74133-7181
(918) 539-0678
(918) 273-6660
Mailing address
8211 EAST REGAL PLACE STE 100, PMB 704, TULSA, OK 74133-7214
(918) 539-0678
(918) 273-6660
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/18/2021
Last updated
09/11/2025
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