| Digestive Health Nutrition Llc | |
|
12051 Quail Ridge Cir Edmond OK 73034 | |
| (405) 960-3120 | |
| (405) 960-3125 |
| Full Name | Digestive Health Nutrition Llc |
|---|---|
| Speciality | Dietitian, Registered |
| Location | 12051 Quail Ridge Cir, Edmond, Oklahoma |
| Authorized Official Name and Position | Destiny Noel Howard (OWNER / DIETITIAN) |
| Authorized Official Contact | 4056309018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Digestive Health Nutrition Llc 3126 S Boulevard Ste 127 Edmond OK 73013-5308 Ph: () - | Digestive Health Nutrition Llc 12051 Quail Ridge Cir Edmond OK 73034 Ph: (405) 960-3120 |
| NPI Number | 1497334247 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 01/11/2024 |
| Certification Date | 03/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497334247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
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