Individual
CHERISH AUTUMN POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8909 DENA LN, OKLAHOMA CITY, OK 73132-1002
(405) 766-9686
Mailing address
8909 DENA LN, OKLAHOMA CITY, OK 73132-1002
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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