Individual
DESTINY SPIRIT BARREAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 NW LAKE AVE, LAWTON, OK 73507-6324
(404) 692-9671
Mailing address
1903 NW LAKE AVE, LAWTON, OK 73507-6324
(404) 692-9671
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
18084
FL
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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