Individual
KRISTINA BERNITSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3536 NORTHLAKE LN, ENID, OK 73703-1471
(580) 747-6895
Mailing address
3536 NORTH LAKE LANE, ENID, OK 73703
(580) 747-6895
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/24/2015
Last updated
06/30/2015
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