Individual
TERA BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8671 BELCARO DR, EDMOND, OK 73034-8172
(405) 816-7883
Mailing address
8671 BELCARO DR, EDMOND, OK 73034-8172
(405) 816-7883
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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