Individual
MS. SHARLA DARLENE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26115 COUNTY ROAD 1260, GRACEMONT, OK 73042-9408
(405) 933-5474
Mailing address
26115 COUNTY ROAD 1260, GRACEMONT, OK 73042-9408
(405) 933-5474
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
NONE
OK
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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