Individual
SHAMARIA MARSHANTE DANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3813 N SHADYWOOD DR APT 416, MIDWEST CITY, OK 73110-3523
(140) 531-2603
Mailing address
3813 N SHADYWOOD DR APT 416, MIDWEST CITY, OK 73110-3523
(140) 531-2603
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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