Organization
SAUNDRA S BASEY HERRIAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAUNDRA SUE HERRIAGE (BUSINESS OWNER)
(405) 752-1291
Entity
Organization
Contact information
Practice address
5806 NW 63RD ST, OKLAHOMA CITY, OK 73132-7735
(405) 752-1291
(405) 842-1261
Mailing address
10412 CONDOR TER, OKLAHOMA CITY, OK 73162-4439
(405) 720-9002
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
OK
Other
Enumeration date
06/24/2005
Last updated
09/06/2023
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