Individual
DIA JANAE METCALF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
317 W CHEROKEE AVE STE B, ENID, OK 73701-5616
(405) 436-7361
Mailing address
1718 E OAK AVE, ENID, OK 73701-3612
(405) 436-7361
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1568844
OK
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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