Individual
MS. JANEA CRYSTAL MAYBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2432 NW 162ND ST, EDMOND, OK 73013-1263
(405) 315-0421
Mailing address
2432 NW 162ND ST, EDMOND, OK 73013-1263
(405) 315-0421
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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