Individual
EBONY OAKRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8126 S JENNA LN, LAVEEN, AZ 85339-2347
(520) 414-2108
Mailing address
8126 S JENNA LN, LAVEEN, AZ 85339-2347
(520) 414-2108
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
3199972
AZ
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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