Individual
DESTINEE ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
215 NE 28TH ST APT 1309, OKLAHOMA CITY, OK 73105-2846
(580) 222-5328
Mailing address
215 NE 28TH ST APT 1309, OKLAHOMA CITY, OK 73105-2846
(580) 222-5328
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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