Individual
SHATERIA RU'KELIA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1414 SW 89TH ST STE B, OKLAHOMA CITY, OK 73159-6312
(405) 458-5611
Mailing address
801 BROOKWOOD DR APT A01-107, OKLAHOMA CITY, OK 73139-4972
(405) 801-7586
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
OK
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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