Organization
J & G MIKES ENTERPRISES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNY REBECCA MIKES MS RD LD (REGISTERED DIETITIAN)
(405) 659-2805
Entity
Organization
Contact information
Practice address
8512 TIFFANY DRIVE, OKLAHOMA CITY, OK 73132
(405) 659-2805
(405) 728-2402
Mailing address
8512 TIFFANY DRIVE, OKLAHOMA CITY, OK 73132
(405) 659-2805
(405) 728-2402
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1107
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200072920 A
—
OK
Enumeration date
11/13/2006
Last updated
03/15/2010
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