Individual
MS. DONNA GAYLE RENFRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W 15TH ST APT 77, EDMOND, OK 73013-3647
(405) 906-6324
Mailing address
600 BANNER AVE, EDMOND, OK 73013-5448
(405) 510-4100
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3747A0650X
TAXONOMY
OK
Enumeration date
08/11/2021
Last updated
08/11/2021
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