Provider Demographics
NPI:1730755968
Name:DRAGMAN, SARA (MSACN)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:DRAGMAN
Suffix:
Gender:F
Credentials:MSACN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7023 SE 15TH ST STE F
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-5107
Mailing Address - Country:US
Mailing Address - Phone:405-684-0320
Mailing Address - Fax:
Practice Address - Street 1:7023 SE 15TH ST STE F
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-5107
Practice Address - Country:US
Practice Address - Phone:405-684-0320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist