Individual
CHARISSA ANN STEVENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPISTS
Contact information
Practice address
2914 EPPERLY DR, DEL CITY, OK 73115-3322
(405) 824-4150
Mailing address
2914 EPPERLY DR, DEL CITY, OK 73115-3322
(405) 673-7633
(405) 673-7638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
157315
OK
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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