Individual
CIERRA CHAPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 S. CHOCTAW, EL RENO, OK 73036
(405) 422-6327
Mailing address
901 BANFF CIR, YUKON, OK 73099-7680
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
128595
OK
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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