MRS. Tanya R Humphrey, BS, NDTR
NPI #1750923637 in Burneyville, Oklahoma
Provider Information
- NPI Number
- 1750923637
- Entity Type
- Individual
- Name
- MRS. Tanya R Humphrey, BS, NDTR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietetic Technician, Registered
- Credential
- BS, NDTR
- Enumeration Date
- Oct 12, 2019
- Last Updated
- Oct 12, 2019
Practice Location
- Address
- 12 BUFFALO PL
- City
- Burneyville
- State
- Oklahoma
- ZIP Code
- 73430-2136
- Phone
- (580) 276-9003
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietetic Technician, Registered |
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