Ellen Louise Hickerson, RD/LD

NPI #1740516350 in Jones, Oklahoma

Provider Information

NPI Number
1740516350
Entity Type
Individual
Name
Ellen Louise Hickerson, RD/LD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD/LD
Enumeration Date
Nov 2, 2009
Last Updated
Nov 2, 2009

Practice Location

Address
7800 BOB WHITE TRL
City
Jones
ZIP Code
73049-3424
Phone
(405) 771-3936

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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