Individual
MISS KAYLA RAE HASTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA, DDMAT, MAT, HHA
Contact information
Practice address
3400 DESKIN DR, NORMAN, OK 73069-8295
(405) 701-8530
(405) 701-8531
Mailing address
3400 DESKIN DR, NORMAN, OK 73069-8295
(405) 701-8530
(405) 701-8531
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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