Individual
MARSHA KHATTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8619 E 124TH ST S, BIXBY, OK 74008-2922
(918) 810-5877
Mailing address
8619 E 124TH ST S, BIXBY, OK 74008-2922
(918) 810-5877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2014
Last updated
01/23/2014
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