Individual
MAKALA DANIELLE MANDRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 S FRETZ AVE, EDMOND, OK 73003-5532
(405) 757-7980
Mailing address
960743 S OAK MEADOW DR, LUTHER, OK 73054-9586
(405) 938-7616
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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