Jessica Tilley RD, LD

NPI 1013294255 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1013294255
Gender Female
Enumeration Date 11/15/2011
Last Updated 08/30/2012
Entity Type Individual
Active Over 5 years ago
Practice Location
8505 N 129TH EAST AVE
OWASSO OK, 74055-7168, US
Phone (918) 376-2529
Fax (918) 376-2548
Business Location
8505 N 129TH EAST AVE
OWASSO OK, 74055-7168, US
Phone (918) 376-2529
Fax (918) 376-2548
Toxanomy
Taxonomy Code 133V00000X
License State Oklahoma
License Number 1042
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According to our database, Ms. Jessica Tilley RD, LD NPI is 1013294255, taxonomy code is 133V00000X and license number is 1042, license state is located at Oklahoma. Jessica Tilley RD, LD physically located at 8505 N 129th East Ave, Owasso OK, 74055-7168. NPI Number Jessica Tilley RD, LD has the Individual type.

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1013294255 NPI number is provided on an as is basis without warranty of any kind. 1013294255 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Tilley RD, LD are for informational purposes only.