Individual
MARESE PAGWUNI ABDUL KALEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD/LD
Contact information
Practice address
2301 NW 122ND ST, OKLAHOMA CITY, OK 73120-8447
(405) 413-8227
Mailing address
2301 NW 122ND ST, OKLAHOMA CITY, OK 73120-8447
(405) 413-8227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2842
OK
133V00000X
Registered Dietitian
DT88489
TX
Other
Enumeration date
07/18/2023
Last updated
10/31/2023
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