Individual
MARISSA REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2712 SW 38TH ST, OKLAHOMA CITY, OK 73119-3304
(405) 418-9676
Mailing address
2712 SW 38TH ST, OKLAHOMA CITY, OK 73119-3304
(405) 418-9676
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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