Individual
MRS. JACQUELINE ELANE BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
6032 E 145TH ST S, BIXBY, OK 74008-4092
(786) 290-9828
Mailing address
6032 E 145TH ST S, BIXBY, OK 74008-4092
(786) 290-9828
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
RRT4409
OK
Other
Enumeration date
02/04/2019
Last updated
02/06/2019
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