Individual
BRANDY PELTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
57533 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1143
(405) 567-0054
(405) 567-0055
Mailing address
57533 MOCCASIN TRAIL RD, PRAGUE, OK 74864-1143
(405) 567-0054
(405) 567-0055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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