Individual
CRYSTIANA SHACARL WHEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 414-1937
Mailing address
301 W I 240 SERVICE RD, OKLAHOMA CITY, OK 73139-7701
(405) 414-1937
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
175T00000X
Peer Specialist
—
—
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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