Individual
SHANNAN MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
509 N WILLIS ST, KINGSTON, OK 73439-8162
(731) 217-1662
Mailing address
509 N WILLIS ST, KINGSTON, OK 73439-8162
(731) 217-1662
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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