Individual
STACI RASHEL MCGARRAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 N 1ST ST, BROKEN ARROW, OK 74012-8477
(479) 831-1877
Mailing address
1812 N 1ST ST, BROKEN ARROW, OK 74012-8477
(469) 831-1877
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
H082928536
OK
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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