Cassandra Star Edwards M.S., R.D./L.D.

NPI 1518243252 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1518243252
Gender Female
Enumeration Date 10/26/2011
Last Updated 10/26/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
3901 N BROADWAY AVE
ADA OK, 74820-1109, US
Phone (580) 371-5183
Fax
Business Location
3901 N BROADWAY AVE
ADA OK, 74820-1109, US
Phone (580) 371-5183
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Oklahoma
License Number 1604
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According to our database, Cassandra Star Edwards M.S., R.D./L.D. NPI is 1518243252, taxonomy code is 133V00000X and license number is 1604, license state is located at Oklahoma. Cassandra Star Edwards M.S., R.D./L.D. physically located at 3901 N Broadway Ave, Ada OK, 74820-1109. NPI Number Cassandra Star Edwards M.S., R.D./L.D. has the Individual type.

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1518243252 NPI number is provided on an as is basis without warranty of any kind. 1518243252 is maintained by the National Plan & Provider Enumeration System. The contents of Cassandra Star Edwards M.S., R.D./L.D. are for informational purposes only.