Individual
CARMEN CHRISTINA HAITSHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2128 B ST NW, MIAMI, OK 74354-1865
(539) 577-9175
Mailing address
2128 B ST NW, MIAMI, OK 74354-1865
(539) 577-9175
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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