Individual
EMMA SHADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N UNIVERSITY DR # 189, EDMOND, OK 73034-5207
(405) 974-2959
Mailing address
1026 E EDWARDS ST, EDMOND, OK 73034-5645
(580) 917-4545
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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