Individual
MRS. BRENDA MICHELE PARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 SE 38TH ST, LAWTON, OK 73501-8401
(580) 357-8095
Mailing address
625 SE 38TH ST, LAWTON, OK 73501-8401
(580) 357-8095
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
385HR2060X
OK
Other
Enumeration date
05/09/2007
Last updated
07/09/2007
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