Individual
MRS. JENNIFER ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD/LD
Contact information
Practice address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
(405) 271-5390
Mailing address
700 NE 13TH ST, OKLAHOMA CITY, OK 73104-5004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1804
OK
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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