| Baltasar Enterprises Inc. | |
|
729 Hamlet Cir, Yukon, OK 73099-4401 | |
| (405) 826-2023 | |
| (405) 654-1073 |
| Full Name | Baltasar Enterprises Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 729 Hamlet Cir, Yukon, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578628855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD 222 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Baltasar Enterprises Inc. Po Box 850894, Yukon, OK 73085-0894 Ph: (405) 826-2023 | Baltasar Enterprises Inc. 729 Hamlet Cir, Yukon, OK 73099-4401 Ph: (405) 826-2023 |
Starla D Robinson, MS, RD, CSOWM, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 345 Redbud St, Yukon, OK 73099 Phone: 918-760-2724 | |
Shaina Sara Yohannan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 9028 Nw 84th St, Yukon, OK 73099 Phone: 405-824-9760 | |
Dietitian Daina Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11431 Nw 9th Ter, Yukon, OK 73099 Phone: 314-681-5350 | |
Hollie Elizabeth Kirby, MS, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11048 Folkstone Dr, Yukon, OK 73099 Phone: 405-740-4224 | |
Larry Stanbrough, RD,LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1201 Health Center Pkwy, Yukon, OK 73099 Phone: 405-717-6800 Fax: 405-717-5368 | |
Mrs. N. Catherine Montgomery, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 907 Brookhurst Blvd, Yukon, OK 73099 Phone: 405-642-8394 | |
Daina Moritz, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11431 Nw 9th Ter, Yukon, OK 73099 Phone: 314-681-5350 |