Individual
DANIEL CERQUITELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3243 NW 22ND ST, OKLAHOMA CITY, OK 73107-3019
(405) 550-6134
Mailing address
3243 NW 22ND ST, OKLAHOMA CITY, OK 73107-3019
(405) 550-6134
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/23/2016
Last updated
01/23/2016
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