Individual
DASHA A BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11032 QUAIL CREEK RD, SUITE 175, OKLAHOMA CITY, OK 73120-6219
(405) 607-0317
Mailing address
2123 NW 113TH ST, OKLAHOMA CITY, OK 73120-7617
(405) 213-4117
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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