Individual
KRISTA LEA TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 E COMANCHE AVE, MCALESTER, OK 74501-5928
(918) 916-7967
Mailing address
610 E COMANCHE AVE, MCALESTER, OK 74501-5928
(918) 916-7967
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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