Individual
ROUDIE HARBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3080 W 3RD ST, ELK CITY, OK 73644-4323
(405) 424-7711
Mailing address
103 MITCHELL DR, ELK CITY, OK 73644-4811
(580) 243-2781
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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