Individual
TARA MICHELLE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16301 N MAY AVE, EDMOND, OK 73013-8892
(405) 856-4803
Mailing address
16301 N MAY AVE, EDMOND, OK 73013-8892
(405) 856-4803
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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