Individual
KAYDEE MARIE CERISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 S WALNUT ST, STILLWATER, OK 74074-4222
(405) 445-3780
Mailing address
604 S WALNUT ST, STILLWATER, OK 74074-4222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0060811
OK
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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