NPI 1750923637

Tanya R Humphrey, BSNDTR

Practitioner Registered Dietetic Technician Burneyville, OK

Practice location

Address: 12 Buffalo Pl, Burneyville, OK 73430-2136
Phone: (580) 276-9003

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X

Other Dietetic Technician, Registered providers in Oklahoma →

Registry record

NPI: 1750923637
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Oct 2019
Record last updated: 12 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.