Individual
BETSY HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 CHIEF STAN WAITE DRIVE, CATOOSA, OK 74015
(918) 379-0363
Mailing address
312 CHIEF STAN WAITE DRIVE, CATOOSA, OK 74015
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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