Individual
MRS. SHEILA KAY CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13377 S 305TH EAST AVE, COWETA, OK 74429-6829
(918) 695-1331
Mailing address
13377 S 305TH EAST AVE, COWETA, OK 74429-6829
(918) 695-4845
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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