Individual
MR. DANYAWN MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2905 S HARR DR STE 102, MIDWEST CITY, OK 73110-3049
(405) 818-8364
Mailing address
2905 S HARR DR STE 102, MIDWEST CITY, OK 73110-3049
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200092660A
—
OK
Enumeration date
11/15/2012
Last updated
11/15/2012
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