Individual
SHARITA LYNELL MILES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 SW 89TH ST STE B, OKLAHOMA CITY, OK 73159-6312
(405) 676-5313
Mailing address
1414 SW 89TH ST STE B, OKLAHOMA CITY, OK 73159-6312
(405) 676-5313
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/27/2024
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