Individual
BEVERLY STASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 FLAMING OAKS DR, NORMAN, OK 73026-0858
(405) 264-3232
Mailing address
822 FLAMING OAKS DR, NORMAN, OK 73026-0858
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/27/2019
Last updated
01/12/2021
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