Individual
MRS. PEESHA NIDIA MERIDETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 752-3634
Mailing address
924 BAYONNE BRIDGE CT, EDMOND, OK 73034-0873
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3100
OK
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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