Individual
DAINTA MEZZELL-HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
647 CHIPPINGHAM LN, BLANCHARD, OK 73010-4052
(405) 268-7226
Mailing address
647 CHIPPINGHAM LN, BLANCHARD, OK 73010-4052
(405) 268-7226
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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