Richelle R. Leibold, R.D./L.D.
Dietitian, Registered in Moore, OK. Individual provider (NPI-1).
NPI number1346538899
StatusActive
Last updated in NPPESJul 19, 2011
Details
- NPI
- 1346538899
- Entity type
- Individual (NPI-1)
- Name
- Richelle R. Leibold
- Credential
- R.D./L.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2011
- Last updated
- Jul 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD773 | OK | Yes |
Practice location
2701 E Hills DrMoore, OK 73160-9542
Phone 405-799-9631
Mailing address
2701 E Hills DrMoore, OK 73160
Phone 405-831-7426
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