MRS. Susan Dethman, CDR

NPI #1356340442 in Wewoka, Oklahoma

Provider Information

NPI Number
1356340442
Entity Type
Individual
Name
MRS. Susan Dethman, CDR
Gender
Not Specified
Sole Proprietor
Not Answered
Primary Specialty
Dietitian, Registered
Credential
CDR
Enumeration Date
Jul 20, 2005
Last Updated
Jul 8, 2007

Practice Location

Address
HWY 56 & 270 JUNCTION
City
Wewoka
ZIP Code
74884
Phone
(405) 257-7318

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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