Individual
ELIZABETH A SISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4200 W MEMORIAL RD STE 508, OKLAHOMA CITY, OK 73120-8359
(405) 755-7561
Mailing address
PO BOX 5980, LUBBOCK, TX 79408-5980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2443
OK
Other
Enumeration date
06/10/2013
Last updated
06/03/2020
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