Individual
MISTY NEVORA BREWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W STROTHERS AVE, SEMINOLE, OK 74868-3274
(405) 303-6036
Mailing address
214 W STROTHERS AVE, SEMINOLE, OK 74868-3274
(405) 303-6036
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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