Individual
SAUNDRA S BASEY HERRIAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5806 NW 63RD ST, OKLAHOMA CITY, OK 73132-7735
(405) 752-1291
(405) 470-1754
Mailing address
5806 NW 63RD ST, OKLAHOMA CITY, OK 73132-7735
(405) 752-1291
(405) 470-1754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0962180001
CIGNA
OK
Enumeration date
01/08/2008
Last updated
01/11/2008
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