Individual
KRISTINA LEE ROSALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
100 E GRANT ST, MANGUM, OK 73554-4831
(254) 239-6043
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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