NPI: 1578628855 · YUKON, OK 73099 · Registered Dietitian · NPI assigned 12/27/2006
| Authorized Official | BALTASAR, EDITA (PRESIDENT) |
| NPI Enumeration Date | 12/27/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 14 | $2K |
| 2024 | 23 | $3K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 97803 | 37 | 24 | $6K |