Individual
MAKAYLA LATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11982 S MULBERRY CT, JENKS, OK 74037-2181
(918) 201-1865
Mailing address
1608 W PITTSBURG ST, BROKEN ARROW, OK 74012-4965
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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